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1679317606
STACIA LEIGH ELLSWORTH
WILMINGTON, NC
NPI
1679317606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: NC A20197)
Enumeration Date
2024-06-24
Last Update Date
2024-06-24
Business Address
STACIA LEIGH ELLSWORTH LCMHC
4302 WRIGHTSVILLE AVE
WILMINGTON, NC 28403-6336
Phone number: 910-788-2375
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Mailing Address
STACIA LEIGH ELLSWORTH LCMHC
7025 CAMERON TRACE DR
WILMINGTON, NC 28411-1201
Phone number: 571-234-2583
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