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1306472121
TAEISHA KELLEY
SLIDELL, LA
NPI
1306472121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 010305737)
Enumeration Date
2020-03-13
Last Update Date
2020-03-13
Business Address
TAEISHA KELLEY
2053 GAUSE BLVD E STE 150
SLIDELL, LA 70461-5451
Phone number: 985-649-1001
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Mailing Address
TAEISHA KELLEY
2053 GAUSE BLVD E STE 150
SLIDELL, LA 70461-5451
Phone number: 985-649-1001
Copy
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