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1023707528
GISELLE ELLIS
COVINGTON, LA
NPI
1023707528
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 5617)
Enumeration Date
2023-05-02
Last Update Date
2023-05-02
Business Address
GISELLE ELLIS CIT
1016 1/2 W 21ST AVE
COVINGTON, LA 70433-7443
Phone number: 985-335-4240
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Mailing Address
GISELLE ELLIS CIT
200 S GRANT ST
COVINGTON, LA 70433-1076
Phone number:
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