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1821173519
CARL RICHARD ELLIS
NORFOLK, VA
NPI
1821173519
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Other Name
RICK ELLIS
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: VA 0810001913)
Enumeration Date
2006-10-25
Last Update Date
2008-06-12
Business Address
Dr. CARL RICHARD ELLIS Ed.D.
4101 GRANBY ST STE 301
NORFOLK, VA 23504-1117
Phone number: 757-640-1882
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Mailing Address
Dr. CARL RICHARD ELLIS Ed.D.
4101 GRANBY ST SUITE 301
NORFOLK, VA 23504-1117
Phone number: 757-640-1882
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