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Individual
MR. MICHAEL SEWARD ELLIS
Active
Individual
MR. MICHAEL SEWARD ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C001135
NC
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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