ANNE ELLINGSON

JACKSON, WY
NPI1841665668
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WY  PAT-073)
Enumeration Date2015-12-04
Last Update Date2015-12-04
Business Address
-- ANNE ELLINGSON Provisional
610 W BROADWAY AVE SUITE L1
JACKSON, WY 83001-8213
Phone number: 307-733-3908
Mailing Address
-- ANNE ELLINGSON Provisional
PO BOX 11390
JACKSON, WY 83002-1390
Phone number: 307-733-3908
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