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1033878392
JODY DAVIDSON LLC
LAKE CHARLES, LA
NPI
1033878392
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Entity Type
Organization
Authorized Contact
JODY DAVIDSON
Owner
337-794-1141
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2021-12-14
Last Update Date
2022-01-12
Business Address
JODY DAVIDSON LLC
315 ALAMO ST
LAKE CHARLES, LA 70601-8528
Phone number: 337-794-1141
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Mailing Address
JODY DAVIDSON LLC
1513 22ND ST
LAKE CHARLES, LA 70601-8821
Phone number: 337-794-1141
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