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1700245164
MICHELLE ELLSWORTH
ROSEBURG, OR
NPI
1700245164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2016-02-14
Last Update Date
2018-11-06
Business Address
Mrs. MICHELLE ELLSWORTH LCSW
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-492-0158
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Mailing Address
Mrs. MICHELLE ELLSWORTH LCSW
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-492-0158
Copy
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