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Individual

STEPHANIE ELLEN ENNIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
120 E UWCHLAN AVE, EXTON, PA 19341-1275
(610) 524-8701
Mailing address
27 SENTINEL DR, PHOENIXVILLE, PA 19460-2600
(330) 321-1943

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH002098
PA

Other

Enumeration date
07/26/2024
Last updated
07/26/2024
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