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1558111237
KELLIE M DEJAN
SLIDELL, LA
NPI
1558111237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 5911)
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
KELLIE M DEJAN
115 FAY WAY
SLIDELL, LA 70460-3213
Phone number: 504-812-5999
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Mailing Address
KELLIE M DEJAN
115 FAY WAY
SLIDELL, LA 70460-3213
Phone number: 504-812-5999
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