KELCI LOUISE WAGNER

SORRENTO, LA
NPI1144049867
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence:   5806)
Enumeration Date2024-10-09
Last Update Date2024-10-09
Business Address
KELCI LOUISE WAGNER CIT
7384 JOHN LEBLANC BLVD
SORRENTO, LA 70778-3231
Phone number: 225-310-2600
Mailing Address
KELCI LOUISE WAGNER CIT
7384 JOHN LEBLANC BLVD
SORRENTO, LA 70778-3231
Phone number: 225-300-4850
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