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1760145528
MELODY JOYCE ELLIS
BLOOMINGTON, IL
NPI
1760145528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: IL 178007977)
Enumeration Date
2021-10-19
Last Update Date
2021-10-19
Business Address
MELODY JOYCE ELLIS
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351
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Mailing Address
MELODY JOYCE ELLIS
108 W MARKET ST
BLOOMINGTON, IL 61701-3918
Phone number: 309-827-5351
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