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1669832838
MALISHA ELLIS
SHREVEPORT, LA
NPI
1669832838
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2016-03-02
Last Update Date
2018-12-20
Business Address
MALISHA ELLIS
6811 FAIRFIELD AVE
SHREVEPORT, LA 71106-3803
Phone number: 318-216-5088
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Mailing Address
MALISHA ELLIS
6811 FAIRFIELD AVE
SHREVEPORT, LA 71106-3803
Phone number: 318-216-5088
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