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1114378064
MARJORIE BETHEA
BASTROP, LA
NPI
1114378064
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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
2016-06-22
Last Update Date
2018-06-11
Business Address
MARJORIE BETHEA
410 S FRANKLIN ST
BASTROP, LA 71220
Phone number: 318-410-1062
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Mailing Address
MARJORIE BETHEA
803 STUBBS AVE
MONROE, LA 71201-5580
Phone number:
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