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1649889536
ELIJAH B EVANS
CROWLEY, LA
NPI
1649889536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 011576884)
Enumeration Date
2020-07-27
Last Update Date
2020-07-27
Business Address
ELIJAH B EVANS PEER SUPPORT CERT.
1120 W HUTCHINSON AVE
CROWLEY, LA 70526-4124
Phone number: 337-250-4263
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Mailing Address
ELIJAH B EVANS PEER SUPPORT CERT.
122A OLIVE BRANCH DR
YOUNGSVILLE, LA 70592-5121
Phone number: 337-376-3523
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