JILLIAN L ELLISON

SHEPHERDSTOWN, WV
NPI1861525073
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WV  14001506)
Enumeration Date2007-03-14
Last Update Date2007-07-08
Business Address
-- JILLIAN L ELLISON cccslp
80 MADDEX DR
SHEPHERDSTOWN, WV 25443-4305
Phone number: 304-876-9422
Mailing Address
-- JILLIAN L ELLISON cccslp
27 RITTER DR
MARTINSBURG, WV 25401-7577
Phone number: 304-582-8098
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