JAMES LUTHER ELLISON

COLUMBIA, SC
NPI1922196187
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TM1800X Psychologist, Intellectual & Developmental Disabilities
(Licence: SC  WP9945)
Enumeration Date2006-10-11
Last Update Date2007-07-08
Business Address
Mr. JAMES LUTHER ELLISON MS
33 BEACON HILL RD
COLUMBIA, SC 29210-5601
Phone number: 803-799-9025
Mailing Address
Mr. JAMES LUTHER ELLISON MS
33 BEACON HILL RD
COLUMBIA, SC 29210-5601
Phone number: 803-799-9025
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