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1730669110
MICHELE MARIE ELLISTON
SACRAMENTO, CA
NPI
1730669110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2018-08-15
Last Update Date
2018-08-15
Business Address
MICHELE MARIE ELLISTON MA
3550 WATT AVE STE 140
SACRAMENTO, CA 95821-2666
Phone number: 916-307-2888
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Mailing Address
MICHELE MARIE ELLISTON MA
3550 WATT AVE STE 140
SACRAMENTO, CA 95821-2666
Phone number: 916-307-2888
Copy
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