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Individual
DR. SUSAN NORMA ELLIS
Active
Individual
DR. SUSAN NORMA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D MIN
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
PC004267
PA
101YP2500X
Professional Counselor
Primary
PC004267
PA
Other
Enumeration date
07/02/2008
Last updated
04/26/2012
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