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1861669566
JUDITH ELLISON
SAINT LOUIS, MO
NPI
1861669566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MO 005117)
Enumeration Date
2008-05-12
Last Update Date
2008-05-12
Business Address
-- JUDITH ELLISON LCSW
3738 CHOUTEAU AVE SUITE 200
SAINT LOUIS, MO 63110-2546
Phone number: 314-772-8801
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Mailing Address
-- JUDITH ELLISON LCSW
3738 CHOUTEAU AVE SUITE 200
SAINT LOUIS, MO 63110-2546
Phone number: 314-772-8801
Copy
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