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Individual

MS. ANGELA ELLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
117 E HARRY BRIDGES BLVD, WILMINGTON, CA 90744-5825
(310) 549-8383
(310) 549-9403
Mailing address
117 E HARRY BRIDGES BLVD, WILMINGTON, CA 90744-5825
(310) 549-8383
(310) 549-9403

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
10/02/2008
Last updated
10/02/2008
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