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Individual

ROBERT A ELLERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SCHOOL PSYCHOLOGIST

Contact information

Practice address
12279 W. GRIER RD., MARANA, AZ 85653
(520) 682-4782
(520) 682-4818
Mailing address
12755 N NEW REFLECTION DR, MARANA, AZ 85658-4395
(520) 572-4248

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
4040404
AZ

Other

Enumeration date
07/24/2008
Last updated
07/24/2008
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