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1104339589
FREDRICK DOUGLAS ABRAHAM
LAKE CHARLES, LA
NPI
1104339589
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-11-08
Last Update Date
2017-11-08
Business Address
FREDRICK DOUGLAS ABRAHAM
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586
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Mailing Address
FREDRICK DOUGLAS ABRAHAM
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586
Copy
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