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1700349198
HEATHER NICOLE ELLIS
PRINCETON, WV
NPI
1700349198
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WV DP00944867)
Enumeration Date
2019-04-11
Last Update Date
2019-04-11
Business Address
HEATHER NICOLE ELLIS
200 12TH STREET EXT
PRINCETON, WV 24740-2329
Phone number: 304-425-9541
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Mailing Address
HEATHER NICOLE ELLIS
200 12TH STREET EXT
PRINCETON, WV 24740-2329
Phone number: 304-425-9541
Copy
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