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Individual

KERRY F ELIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
710 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2351
(318) 787-6749
Mailing address
710 VERSAILLES BLVD, ALEXANDRIA, LA 71303-2351
(318) 787-6749

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC9452
LA
171M00000X
Case Manager/Care Coordinator
LA

Other

Enumeration date
01/25/2016
Last updated
03/09/2023
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