ALICIAH KAE SOUZA

BASTROP, LA
NPI1154873388
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  471411453)
Enumeration Date2016-11-04
Last Update Date2016-11-04
Business Address
-- ALICIAH KAE SOUZA B.S.
644 E JEFFERSON AVE
BASTROP, LA 71220-4619
Phone number: 318-239-3862
Mailing Address
-- ALICIAH KAE SOUZA B.S.
810 E PECAN AVE
BASTROP, LA 71220-5124
Phone number: 310-974-3055
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