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1154851038
MELLISA LAU BOOTH
LAKE CHARLES, LA
NPI
1154851038
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 6369)
Enumeration Date
2017-06-14
Last Update Date
2022-07-21
Business Address
MELLISA LAU BOOTH
2829 4TH AVE
LAKE CHARLES, LA 70601-7887
Phone number: 337-477-7091
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Mailing Address
MELLISA LAU BOOTH
2829 4TH AVE
LAKE CHARLES, LA 70601-7887
Phone number: 337-477-7091
Copy
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