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1134848674
KOURTNEY THIBODEAUX
LAKE CHARLES, LA
NPI
1134848674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-08-26
Last Update Date
2022-08-26
Business Address
Mrs. KOURTNEY THIBODEAUX PSS
1634 RYAN ST
LAKE CHARLES, LA 70601-5949
Phone number: 337-602-6391
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Mailing Address
Mrs. KOURTNEY THIBODEAUX PSS
1634 RYAN ST
LAKE CHARLES, LA 70601-5949
Phone number: 337-602-6391
Copy
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