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1790251395
TARISKA MARIE ELLIS
MARRERO, LA
NPI
1790251395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-10-22
Last Update Date
2018-10-22
Business Address
TARISKA MARIE ELLIS
2645 RUE JESANN
MARRERO, LA 70072-6341
Phone number: 504-410-2619
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Mailing Address
TARISKA MARIE ELLIS
2645 RUE JESANN
MARRERO, LA 70072-6341
Phone number: 504-410-2619
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