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1790083343
SHELAH LETITIA ELLISON
ASH FLAT, AR
NPI
1790083343
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2011-03-07
Last Update Date
2014-11-25
Business Address
-- SHELAH LETITIA ELLISON MHPP
75 HWY 62-412
ASH FLAT, AR 72513
Phone number: 870-994-7060
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Mailing Address
-- SHELAH LETITIA ELLISON MHPP
1815 PLEASANT GROVE ROAD
JONESBORO, AR 72404
Phone number: 870-933-6886
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