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1790502425
JENNIFER ELLIS
FORT WAYNE, IN
NPI
1790502425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
(Licence: IN 10072965)
Enumeration Date
2024-09-24
Last Update Date
2024-09-24
Business Address
JENNIFER ELLIS Ed.S., NCSP
1515 S SCOTT RD
FORT WAYNE, IN 46814-9399
Phone number: 260-431-0728
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Mailing Address
JENNIFER ELLIS Ed.S., NCSP
1515 S SCOTT RD
FORT WAYNE, IN 46814-9399
Phone number: 260-431-0728
Copy
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