DELORIA JEAN ELLIS

MADISON, AL
NPI1750087417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: AL  C4153A)
Enumeration Date2023-02-03
Last Update Date2023-02-03
Business Address
DELORIA JEAN ELLIS ALC
8089 HIGHWAY 72 W STE D
MADISON, AL 35758-9531
Phone number: 256-489-0025
Mailing Address
DELORIA JEAN ELLIS ALC
3621 PATTON RD SW APT M
HUNTSVILLE, AL 35805-4834
Phone number: 334-560-6024
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