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Individual

LINDA ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1760 CENTURY BLVD NE STE B, ATLANTA, GA 30345-3310
(678) 433-6300
Mailing address
2559 KNOX ST NE, ATLANTA, GA 30317-2829
(404) 429-6633

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/27/2022
Last updated
06/27/2022
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