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Individual
MS. PAIGE NICOLE ELLISON
Active
Individual
MS. PAIGE NICOLE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1055871
NY
1041C0700X
Clinical Social Worker
Primary
094136
NY
Other
Enumeration date
01/23/2019
Last updated
10/04/2022
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