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1730813700
MATTHEW ELLIS
MINNEAPOLIS, MN
NPI
1730813700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN 305037)
Enumeration Date
2022-07-14
Last Update Date
2022-07-14
Business Address
MATTHEW ELLIS BA, LADC
2217 NICOLLET AVE
MINNEAPOLIS, MN 55404-3382
Phone number: 612-294-9263
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Mailing Address
MATTHEW ELLIS BA, LADC
2217 NICOLLET AVE
MINNEAPOLIS, MN 55404-3382
Phone number: 612-767-0309
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