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1801015771
NICOLE LEE SMITH ELLISON
TAMPA, FL
NPI
1801015771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
-- NICOLE LEE SMITH ELLISON BS
5707 N 22ND STREET MENTAL HEALTH CARE INC
TAMPA, FL 33610
Phone number: 813-272-2878
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Mailing Address
-- NICOLE LEE SMITH ELLISON BS
5707 N 22ND STREET MENTAL HEALTH CARE INC
TAMPA, FL 33610
Phone number: 813-272-2878
Copy
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