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Individual
MRS. THELMA JEAN CARPENTER-ELLIS
Active
Individual
MRS. THELMA JEAN CARPENTER-ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.P.C.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05732111
LCPC
IL
Enumeration date
05/15/2007
Last updated
07/08/2007
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