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1841025616
ELLIE ROSE CLANCY
LOS ANGELES, CA
NPI
1841025616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 146015)
Enumeration Date
2024-09-03
Last Update Date
2024-09-25
Business Address
ELLIE ROSE CLANCY
11303 W WASHINGTON BLVD STE 200
LOS ANGELES, CA 90066-6003
Phone number: 310-482-3200
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Mailing Address
ELLIE ROSE CLANCY
825 S HILL ST APT 522
LOS ANGELES, CA 90014-3198
Phone number: 818-205-6465
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