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1093207391
KLASSI BUSH
LAFAYETTE, LA
NPI
1093207391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-06-01
Last Update Date
2018-06-01
Business Address
KLASSI BUSH
1144 COOLIDGE BLVD STE C
LAFAYETTE, LA 70503-2622
Phone number: 337-266-7170
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Mailing Address
KLASSI BUSH
1144 COOLIDGE BLVD STE C
LAFAYETTE, LA 70503-2622
Phone number: 337-266-7170
Copy
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