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Individual
MR. MACY NEIL ELLINGTON
Active
Individual
MR. MACY NEIL ELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
A021500116
CA
373H00000X
Day Training/Habilitation Specialist
Primary
A021500116
—
Other
Enumeration date
07/31/2012
Last updated
06/16/2025
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