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1891046306
CHARLES EARL ELLIS
MARRERO, LA
NPI
1891046306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-09-24
Last Update Date
2012-09-24
Business Address
Mr. CHARLES EARL ELLIS Counselor
5001 WESTBANK EXPY
MARRERO, LA 70072-2954
Phone number: 504-349-8708
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Mailing Address
Mr. CHARLES EARL ELLIS Counselor
5001 WESTBANK EXPY
MARRERO, LA 70072-2954
Phone number: 504-349-8708
Copy
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