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1710113980
KATHY JEAN ELLIS
GRASS VALLEY, CA
NPI
1710113980
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA MFC22869)
Enumeration Date
2009-06-02
Last Update Date
2009-06-02
Business Address
-- KATHY JEAN ELLIS LMFT
2059 NEVADA CITY HWY SUITE 104
GRASS VALLEY, CA 95945-7711
Phone number: 530-477-7016
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Mailing Address
-- KATHY JEAN ELLIS LMFT
12036 NEVADA CITY HWY #237
GRASS VALLEY, CA 95945-8461
Phone number: 530-477-7016
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