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1053813048
JACQUELINE LUTER CALLOWAY
THIBODAUX, LA
NPI
1053813048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 9903)
Enumeration Date
2018-03-06
Last Update Date
2018-06-16
Business Address
JACQUELINE LUTER CALLOWAY
1418 TIGER DR
THIBODAUX, LA 70301-4337
Phone number: 985-449-4055
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Mailing Address
JACQUELINE LUTER CALLOWAY
130 SAXONY DR
HOUMA, LA 70364-2871
Phone number: 228-223-7968
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