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1912555095
HOLLY ELLIS
STERLING, VA
NPI
1912555095
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810004210)
Enumeration Date
2019-08-31
Last Update Date
2019-08-31
Business Address
HOLLY ELLIS
107 CARPENTER DR STE 210
STERLING, VA 20164-4468
Phone number: 703-297-4368
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Mailing Address
HOLLY ELLIS
711 BERRY ST
FALLS CHURCH, VA 22042-2401
Phone number: 571-730-7808
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