JACQUELINE A ELLIS

COLUMBIA, MO
NPI1992821730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: MO  PY00548)
Enumeration Date2007-03-22
Last Update Date2007-07-09
Business Address
Dr. JACQUELINE A ELLIS PhD
204 AUSTIN AVE
COLUMBIA, MO 65203-4078
Phone number: 573-875-1718
Mailing Address
Dr. JACQUELINE A ELLIS PhD
204 AUSTIN AVE
COLUMBIA, MO 65203-4078
Phone number: 573-875-1718
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