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1356893887
ELLISA GLADNEY
BOSSIER CITY, LA
NPI
1356893887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-11-01
Last Update Date
2022-09-14
Business Address
ELLISA GLADNEY
1609 HILL ST
BOSSIER CITY, LA 71111-4121
Phone number: 318-505-1114
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Mailing Address
ELLISA GLADNEY
610 STOCKBRIDGE LN
SHREVEPORT, LA 71107-1951
Phone number: 318-393-3451
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