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1124849070
KISHA DONIELLE LEVY
LAFAYETTE, LA
NPI
1124849070
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Former Name
KISHA DONIELLE DEGRAY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA PLC10432)
Enumeration Date
2024-10-23
Last Update Date
2024-10-23
Business Address
KISHA DONIELLE LEVY
224 SAINT LANDRY ST STE 2C
LAFAYETTE, LA 70506-3578
Phone number: 337-716-5170
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Mailing Address
KISHA DONIELLE LEVY
1604 DEHART DR APT A
NEW IBERIA, LA 70560-7063
Phone number: 850-212-8852
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