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1104588706
ELLIE SAMANTHA YOUNG
MONROE, LA
NPI
1104588706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-10-11
Last Update Date
2023-11-13
Business Address
ELLIE SAMANTHA YOUNG
622 RIVERSIDE DR
MONROE, LA 71201-6211
Phone number: 318-398-4314
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Mailing Address
ELLIE SAMANTHA YOUNG
1000 CHINABERRY DR STE 900
BOSSIER CITY, LA 71111-2455
Phone number:
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