JVONNE L ELLINGSON

WATERTOWN, SD
NPI1780789370
Former NameJVONNE L HEARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: SD  4293)
Enumeration Date2006-09-14
Last Update Date2007-07-08
Business Address
Mrs. JVONNE L ELLINGSON CCDCT
123 19TH STREET NE
WATERTOWN, SD 57201
Phone number: 605-886-0123
Mailing Address
Mrs. JVONNE L ELLINGSON CCDCT
PO BOX 1030
WATERTOWN, SD 57201
Phone number: 605-886-0123
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