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1073949178
DORIS S. BROADNAX
MONROE, LA
NPI
1073949178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 1194)
Enumeration Date
2013-09-20
Last Update Date
2013-09-20
Business Address
Ms. DORIS S. BROADNAX
4800 S GRAND ST
MONROE, LA 71202-6412
Phone number: 318-362-3339
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Mailing Address
Ms. DORIS S. BROADNAX
4800 S GRAND ST
MONROE, LA 71202-6412
Phone number:
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