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1134575426
GWENDOLYN HARRIS
LAKE CHARLES, LA
NPI
1134575426
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-05-05
Last Update Date
2018-06-19
Business Address
GWENDOLYN HARRIS
803 W BAYOU PINES DR STE F
LAKE CHARLES, LA 70601
Phone number: 337-990-5305
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Mailing Address
GWENDOLYN HARRIS
2132 BROOKS ST
LAKE CHARLES, LA 70601-1812
Phone number: 337-990-5305
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