JERREL TELLIS

SHREVEPORT, LA
NPI1245776756
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-01-09
Last Update Date2018-09-11
Business Address
JERREL TELLIS
2715 MACKEY PL STE 15
SHREVEPORT, LA 71118-2544
Phone number: 318-220-8423
Mailing Address
JERREL TELLIS
2715 MACKEY PL STE 15
SHREVEPORT, LA 71118-2544
Phone number: 318-220-8423
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