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1811949142
TIM ELLIS
ELIZABETHTOWN, KY
NPI
1811949142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: KY 1284)
Enumeration Date
2006-05-16
Last Update Date
2015-09-09
Business Address
-- TIM ELLIS LCSW
3651 SHEPHERDSVILLE RD
ELIZABETHTOWN, KY 42701-9511
Phone number: 270-378-0230
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Mailing Address
-- TIM ELLIS LCSW
3651 SHEPHERDSVILLE RD
ELIZABETHTOWN, KY 42701-9511
Phone number: 270-378-0230
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