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1760971527
ELISHA RENE THOMAS
TALLULAH, LA
NPI
1760971527
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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
2018-05-08
Last Update Date
2021-11-08
Business Address
ELISHA RENE THOMAS
1705 FELICIA AVE
TALLULAH, LA 71282-8203
Phone number: 318-574-1232
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Mailing Address
ELISHA RENE THOMAS
1705 FELICIA AVE
TALLULAH, LA 71282-8203
Phone number: 318-574-1232
Copy
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