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1114792348
SHADE CHANTEL RODRIGUEZ
WEST MONROE, LA
NPI
1114792348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 5718)
Enumeration Date
2023-11-17
Last Update Date
2023-11-17
Business Address
SHADE CHANTEL RODRIGUEZ CIT
5542 WHITES FERRY RD LOT 4
WEST MONROE, LA 71291-8839
Phone number: 318-614-7826
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Mailing Address
SHADE CHANTEL RODRIGUEZ CIT
2321 US-80
MONROE, LA 71203
Phone number: 318-600-3333
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