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1720786031
JASON DEAN ELLIS
PHOENIX, AZ
NPI
1720786031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: AZ LMFT15837)
Enumeration Date
2023-02-16
Last Update Date
2023-02-16
Business Address
JASON DEAN ELLIS LMFT
1642 W MORTEN AVE
PHOENIX, AZ 85021-7060
Phone number: 602-999-8389
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Mailing Address
JASON DEAN ELLIS LMFT
1642 W MORTEN AVE
PHOENIX, AZ 85021-7060
Phone number: 602-999-8389
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