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1801414578
KEVA ELLIS
RIVERDALE, GA
NPI
1801414578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA LPC010433)
Enumeration Date
2020-07-09
Last Update Date
2022-06-27
Business Address
Ms. KEVA ELLIS LPC
6815 W FAYETTEVILLE RD
RIVERDALE, GA 30296-2528
Phone number: 281-236-6762
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Mailing Address
Ms. KEVA ELLIS LPC
6815 W FAYETTEVILLE RD
RIVERDALE, GA 30296-2528
Phone number: 907-984-2477
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