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1043053648
KENNEDI LISA GABRIELLE JOHNSON
THIBODAUX, LA
NPI
1043053648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-06-13
Last Update Date
2024-06-20
Business Address
KENNEDI LISA GABRIELLE JOHNSON
2590 HIGHWAY 1
THIBODAUX, LA 70301-5843
Phone number: 985-313-1093
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Mailing Address
KENNEDI LISA GABRIELLE JOHNSON
2590 HIGHWAY 1
THIBODAUX, LA 70301-5843
Phone number: 985-313-1093
Copy
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