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1679933717
ELLIS WILSON
NEW ORLEANS, LA
NPI
1679933717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-03-02
Last Update Date
2018-12-03
Business Address
Mr. ELLIS WILSON
2331 CANAL ST
NEW ORLEANS, LA 70119-6503
Phone number: 844-239-3737
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Mailing Address
Mr. ELLIS WILSON
3868 GALLATIN ST
NEW ORLEANS, LA 70114-5022
Phone number:
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