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Individual

MRS. VERA ELLIS-MULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS

Contact information

Practice address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
(877) 418-2978
(866) 500-2186
Mailing address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
LA
171M00000X
Case Manager/Care Coordinator
LA

Other

Enumeration date
06/20/2019
Last updated
07/23/2020
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