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1891541058
ELLIE KATE WOOTEN
SHREVEPORT, LA
NPI
1891541058
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-04-29
Last Update Date
2024-04-29
Business Address
ELLIE KATE WOOTEN
7330 FERN AVE STE 1103
SHREVEPORT, LA 71105-4989
Phone number: 318-606-5706
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Mailing Address
ELLIE KATE WOOTEN
7330 FERN AVE STE 1103
SHREVEPORT, LA 71105-4989
Phone number: 318-606-5706
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