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1104285188
KANDY BIVENS
JENNINGS, LA
NPI
1104285188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-02-18
Last Update Date
2018-05-08
Business Address
KANDY BIVENS
1615 JOHNSON ST
JENNINGS, LA 70546-3650
Phone number: 337-616-0225
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Mailing Address
KANDY BIVENS
1615 JOHNSON ST
JENNINGS, LA 70546-3650
Phone number:
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