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1801571179
MARYLYNN ELLSWORTH
PHOENIX, AZ
NPI
1801571179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: AZ LPC-21654)
Enumeration Date
2023-06-15
Last Update Date
2023-06-15
Business Address
Ms. MARYLYNN ELLSWORTH LPC, CTSS
2633 E INDIAN SCHOOL RD STE 250
PHOENIX, AZ 85016-0703
Phone number: 602-492-1010
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Mailing Address
Ms. MARYLYNN ELLSWORTH LPC, CTSS
4017 E TETHER TRL
PHOENIX, AZ 85050-8970
Phone number: 480-231-3184
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