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1699205146
AMANDA ELLIS,LLC
ROSEVILLE, MN
NPI
1699205146
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Entity Type
Organization
Authorized Contact
AMANDA ELLIS
Owner
651-217-8600
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MN LICSW)
Enumeration Date
2017-06-18
Last Update Date
2022-07-21
Business Address
AMANDA ELLIS,LLC
2960 SNELLING AVE N STE 210
ROSEVILLE, MN 55113-2458
Phone number: 651-217-8600
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Mailing Address
AMANDA ELLIS,LLC
2960 SNELLING AVE N STE 210
ROSEVILLE, MN 55113-2458
Phone number: 651-217-8600
Copy
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