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1154534097
KELLI CHURCHILL
COVINGTON, LA
NPI
1154534097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 7735)
Enumeration Date
2007-05-07
Last Update Date
2012-01-30
Business Address
-- KELLI CHURCHILL LCSW
5001 HIGHWAY 190 EAST SERVICE RD STE B1
COVINGTON, LA 70433-4999
Phone number: 985-630-8350
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Mailing Address
-- KELLI CHURCHILL LCSW
1925 AMERICA ST
MANDEVILLE, LA 70448-3802
Phone number: 985-630-8350
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