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1114206760
DIANE GAIL FRUGE
LAKE CHARLES, LA
NPI
1114206760
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2011-08-15
Last Update Date
2011-08-15
Business Address
-- DIANE GAIL FRUGE RAC
4105 KIRKMAN ST
LAKE CHARLES, LA 70607-4603
Phone number: 337-475-2088
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Mailing Address
-- DIANE GAIL FRUGE RAC
4105 KIRKMAN ST
LAKE CHARLES, LA 70607-4603
Phone number: 337-475-2088
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