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1578083911
SHONDA LAVERNE ELLIS
ALEXANDRIA, LA
NPI
1578083911
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Former Name
SHONDA LAVERNE YOUNG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-06-27
Last Update Date
2018-07-23
Business Address
SHONDA LAVERNE ELLIS
1450 PETERMAN DR STE A
ALEXANDRIA, LA 71301
Phone number: 318-473-4328
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Mailing Address
SHONDA LAVERNE ELLIS
1450 PETERMAN DR STE A
ALEXANDRIA, LA 71301-3432
Phone number: 318-473-4328
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