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1760737266
MICHELLE M ELLIS
ITHACA, NY
NPI
1760737266
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY 17385)
Enumeration Date
2012-07-20
Last Update Date
2012-07-20
Business Address
Ms. MICHELLE M ELLIS MS,CASAC,ICADC,CADT
201 E GREEN ST SUITE 500
ITHACA, NY 14850-5635
Phone number: 607-274-6288
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Mailing Address
Ms. MICHELLE M ELLIS MS,CASAC,ICADC,CADT
201 E GREEN ST SUITE 500
ITHACA, NY 14850-5635
Phone number: 607-274-6288
Copy
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