SUE ELLISON

O FALLON, MO
NPI1710237607
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: MO  001590)
Enumeration Date2012-09-18
Last Update Date2012-09-18
Business Address
-- SUE ELLISON
109 CHURCH ST
O FALLON, MO 63366-2894
Phone number: 314-540-1759
Mailing Address
-- SUE ELLISON
512 OAKTON RIDGE COURT
BALLWIN, MO 63021
Phone number: 314-540-1759
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