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1871174029
DAVID ASHER HUNT ELLISON
SCOTT AFB, IL
NPI
1871174029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 105055)
Enumeration Date
2021-04-19
Last Update Date
2022-08-09
Business Address
DAVID ASHER HUNT ELLISON
310 W LOSEY ST
SCOTT AFB, IL 62225-5252
Phone number: 618-256-9355
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Mailing Address
DAVID ASHER HUNT ELLISON
310 W LOSEY ST
SCOTT AFB, IL 62225-5252
Phone number: 618-256-9355
Copy
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