TARA ELLIS

OMAHA, NE
NPI1700346202
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: NE  2529)
Additional Taxonomies101Y00000X Counselor
(Licence: NE  11803)
Enumeration Date2019-03-21
Last Update Date2023-10-16
Business Address
TARA ELLIS LIMHP
3677 N 129TH ST
OMAHA, NE 68164-5211
Phone number: 573-719-9655
Mailing Address
TARA ELLIS LIMHP
3677 N 129TH ST
OMAHA, NE 68164-5211
Phone number: 573-719-9655
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