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1134654411
LAVANDA RANDELL
LAFAYETTE, LA
NPI
1134654411
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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
2017-04-25
Last Update Date
2020-07-14
Business Address
LAVANDA RANDELL
315 S COLLEGE RD STE 100
LAFAYETTE, LA 70503-3213
Phone number: 337-205-6073
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Mailing Address
LAVANDA RANDELL
124 ABIGAYLES ROW
SCOTT, LA 70583
Phone number:
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