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1013466051
COGNITIVE DEVELOPMENT CENTER
MONROE, LA
NPI
1013466051
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Entity Type
Organization
Authorized Contact
CHELLCY JACKSON
Mhp
318-418-0329
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2016-10-03
Last Update Date
2016-10-03
Business Address
COGNITIVE DEVELOPMENT CENTER
316 WOODALE DR APT 11
MONROE, LA 71203-2712
Phone number: 318-600-6045
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Mailing Address
COGNITIVE DEVELOPMENT CENTER
316 WOODALE DR APT 11
MONROE, LA 71203-2712
Phone number: 318-600-6045
Copy
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