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1205972452
ELLEN KISSEL THOMAS
BATON ROUGE, LA
NPI
1205972452
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Other Name
ELLEN ELIZABETH THOMAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: LA 772046)
Enumeration Date
2007-01-29
Last Update Date
2007-07-08
Business Address
Mrs. ELLEN KISSEL THOMAS
1805 COLLEGE DR
BATON ROUGE, LA 70808-1919
Phone number: 225-923-3420
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Mailing Address
Mrs. ELLEN KISSEL THOMAS
15625 ANTIETAM AVE
BATON ROUGE, LA 70817-3137
Phone number: 225-753-3804
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