MARY MAE ELLISON

OAKLAND, CA
NPI1851831754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies225400000X Rehabilitation Practitioner
Enumeration Date2017-02-27
Last Update Date2022-10-30
Business Address
MARY MAE ELLISON
3301 E 12TH ST STE 259
OAKLAND, CA 94601-2940
Phone number: 510-269-9030
Mailing Address
MARY MAE ELLISON
1454 HUMPHREY DR APT D
SUISUN CITY, CA 94585-1933
Phone number:
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