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1992821730
JACQUELINE A ELLIS
COLUMBIA, MO
NPI
1992821730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: MO PY00548)
Enumeration Date
2007-03-22
Last Update Date
2007-07-09
Business Address
Dr. JACQUELINE A ELLIS PhD
204 AUSTIN AVE
COLUMBIA, MO 65203-4078
Phone number: 573-875-1718
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Mailing Address
Dr. JACQUELINE A ELLIS PhD
204 AUSTIN AVE
COLUMBIA, MO 65203-4078
Phone number: 573-875-1718
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