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1720213374
KEASHA T WALTON ELLIS
SACRAMENTO, CA
NPI
1720213374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2009-05-27
Last Update Date
2012-02-22
Business Address
-- KEASHA T WALTON ELLIS
5523 34TH ST
SACRAMENTO, CA 95820-4725
Phone number: 916-452-3601
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Mailing Address
-- KEASHA T WALTON ELLIS
4343 WILLIAMSBOURGH DR
SACRAMENTO, CA 95823-2006
Phone number: 916-395-3552
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