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1023664372
MICHAEL GENE WALDRIP
TERRYTOWN, LA
NPI
1023664372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 5590)
Enumeration Date
2019-08-13
Last Update Date
2019-08-13
Business Address
MICHAEL GENE WALDRIP
1799 STUMPF BLVD. BUILDING 3, SUITE 2
TERRYTOWN, LA 70056-7005
Phone number: 504-255-4205
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Mailing Address
MICHAEL GENE WALDRIP
3715 LAKE VILLA DR
METAIRIE, LA 70002-4331
Phone number: 504-255-4205
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