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1851814644
MATTALUE ELLIS
SAINT LOUIS, MO
NPI
1851814644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TS0200X Psychologist, School
Additional Taxonomies
101YS0200X Counselor, School
Enumeration Date
2017-07-24
Last Update Date
2017-07-24
Business Address
MATTALUE ELLIS M.A.
11960 WESTLINE INDUSTRIAL DR
SAINT LOUIS, MO 63146-3209
Phone number: 314-439-1949
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Mailing Address
MATTALUE ELLIS M.A.
11960 WESTLINE INDUSTRIAL DR
SAINT LOUIS, MO 63146-3209
Phone number:
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