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1154794253
SHEMICA MOSS
LAKE CHARLES, LA
NPI
1154794253
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 007627077)
Enumeration Date
2015-11-11
Last Update Date
2018-05-07
Business Address
SHEMICA MOSS MHS
1639 RYAN ST
LAKE CHARLES, LA 70601-5948
Phone number: 337-602-6391
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Mailing Address
SHEMICA MOSS MHS
1639 RYAN ST
LAKE CHARLES, LA 70601-5948
Phone number: 337-602-6391
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