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Organization

ELLA JEAN MCGINNIS

Active
Other names
signs & wonders community mental
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. THANE PAINIA (CONSULTANT)
(225) 687-9902
Entity
Organization

Contact information

Practice address
57620 TRUE HOPE LN, PLAQUEMINE, LA 70764-4541
(225) 687-9902
(225) 687-9902
Mailing address
57620 TRUE HOPE LN, PLAQUEMINE, LA 70764-4541
(225) 687-9902
(225) 687-9902

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
19-4709
LA

Other

Enumeration date
12/28/2006
Last updated
10/05/2007
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