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1114942380
KELLY JEAN SCOTT
COVINGTON, LA
NPI
1114942380
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 893)
Enumeration Date
2006-07-12
Last Update Date
2020-12-23
Business Address
KELLY JEAN SCOTT LAC
406 N FLORIDA ST
COVINGTON, LA 70433-2997
Phone number: 504-635-3535
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Mailing Address
KELLY JEAN SCOTT LAC
521 LEGION AVE
HOUMA, LA 70364-3339
Phone number: 985-857-3612
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