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Individual
ELLISA ROBIN MIMLITSCH
Active
Individual
ELLISA ROBIN MIMLITSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, CASACT
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
088940
NY
Other
Enumeration date
07/11/2012
Last updated
11/23/2015
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