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Individual
KATE M ELLISON
Active
Individual
KATE M ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
07/03/2024
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