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1710607510
MADDISEN T ELLISON
LITTLE ROCK, AR
NPI
1710607510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: AR 202327)
Enumeration Date
2022-08-31
Last Update Date
2024-08-28
Business Address
MADDISEN T ELLISON Psychology Intern
4301 W MARKHAM ST
LITTLE ROCK, AR 72205-7199
Phone number: 501-214-2499
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Mailing Address
MADDISEN T ELLISON Psychology Intern
PO BOX 188
CHILLICOTHE, OH 45601-0188
Phone number: 740-773-4366
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