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Individual
ELLEN EDUTU IJEBOR
Active
Individual
ELLEN EDUTU IJEBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10001433
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
09/10/2026
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