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1366091142
IRELL T. WARREN
NEW ORLEANS, LA
NPI
1366091142
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-09-05
Last Update Date
2019-09-05
Business Address
Mr. IRELL T. WARREN
2601 TULANE AVE STE 300
NEW ORLEANS, LA 70119-7499
Phone number: 504-570-6120
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Mailing Address
Mr. IRELL T. WARREN
2532 WHIPPLETREE DR
HARVEY, LA 70058-5001
Phone number: 504-234-6417
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