TELLIS TERRELL ABRAM

GONZALES, LA
NPI1437598919
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  8626)
Enumeration Date2013-06-18
Last Update Date2013-06-18
Business Address
-- TELLIS TERRELL ABRAM LMSW
1914 S GAUDIN AVE
GONZALES, LA 70737-4147
Phone number: 225-450-1170
Mailing Address
-- TELLIS TERRELL ABRAM LMSW
1914 S GAUDIN AVE
GONZALES, LA 70737-4147
Phone number: 225-450-1170
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