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1952691859
TANISHA LEJON CLARK
KENNER, LA
NPI
1952691859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 11240)
Enumeration Date
2011-04-12
Last Update Date
2021-04-26
Business Address
TANISHA LEJON CLARK
4134 FLORIDA AVE STE 203
KENNER, LA 70065-2190
Phone number: 504-356-8660
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Mailing Address
TANISHA LEJON CLARK
4134 FLORIDA AVE
KENNER, LA 70065-2190
Phone number: 504-356-8660
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