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1912522582
DORIAN ELLIS
ATLANTA, GA
NPI
1912522582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: GA 007688)
Enumeration Date
2020-06-10
Last Update Date
2020-06-10
Business Address
DORIAN ELLIS
5470 LEMOYNE DR SW
ATLANTA, GA 30331-9206
Phone number: 617-331-6966
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Mailing Address
DORIAN ELLIS
3645 MARKETPLACE BLVD STE 130-171
ATLANTA, GA 30344-5747
Phone number: 470-222-5354
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