Individual
TANESHA PATRICE ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 MORRIS AVE, MONROE, LA 71202-2067
(318) 816-5514
Mailing address
31 LESLIE LN, MONROE, LA 71203-2784
(318) 503-1927
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
LA
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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