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1689710097
JONATHAN W. ELLIS
JAMAICA PLAIN, MA
NPI
1689710097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 213700)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
Mr. JONATHAN W. ELLIS LCSW
161 S HUNTINGTON AVE
JAMAICA PLAIN, MA 02130-4885
Phone number: 617-264-5301
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Mailing Address
Mr. JONATHAN W. ELLIS LCSW
37 SUMMIT AVE
SHARON, MA 02067-2151
Phone number: 617-264-5301
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