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1730427063
MARK ELLISON
MARIETTA, GA
NPI
1730427063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: GA AMFT000182)
Enumeration Date
2013-01-22
Last Update Date
2013-01-22
Business Address
-- MARK ELLISON LAMFT
2655 DALLAS HWY SW SUITE 310
MARIETTA, GA 30064-2597
Phone number: 770-856-8393
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Mailing Address
-- MARK ELLISON LAMFT
2655 DALLAS HWY SW SUITE 310
MARIETTA, GA 30064-2597
Phone number: 770-856-8393
Copy
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