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1891261855
MARC R ELLISON
ISSAQUAH, WA
NPI
1891261855
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Other Name
M ELI ELLISON
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA SC60507250)
Enumeration Date
2018-10-17
Last Update Date
2018-12-05
Business Address
MARC R ELLISON LICSWA
414 FRONT ST N
ISSAQUAH, WA 98027-2914
Phone number: 425-392-6367
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Mailing Address
MARC R ELLISON LICSWA
414 FRONT ST N
ISSAQUAH, WA 98027-2914
Phone number: 425-392-6367
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