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1679007520
LENNEA ELLIS
SHREVEPORT, LA
NPI
1679007520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-04-18
Last Update Date
2019-02-05
Business Address
LENNEA ELLIS
2715 MACKEY PL STE 135
SHREVEPORT, LA 71118-2528
Phone number: 318-220-8423
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Mailing Address
LENNEA ELLIS
6000 W 70TH ST APT 2501
SHREVEPORT, LA 71129-2534
Phone number: 318-820-7983
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