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Individual

OLIVIA KAY ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
948 ELM ST STE 2, BOWLING GREEN, KY 42101-2277
(270) 266-1188
Mailing address
948 ELM ST STE 2, BOWLING GREEN, KY 42101-2277
(270) 266-1188

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NA
KY

Other

Enumeration date
07/06/2023
Last updated
07/06/2023
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