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1164081832
MERRIL THIBODEAUX
LAFAYETTE, LA
NPI
1164081832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 2)
Enumeration Date
2019-06-06
Last Update Date
2019-06-06
Business Address
MERRIL THIBODEAUX
501 W SAINT MARY BLVD STE 210
LAFAYETTE, LA 70506-4699
Phone number: 337-233-1114
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Mailing Address
MERRIL THIBODEAUX
PO BOX 53388
LAFAYETTE, LA 70505-3388
Phone number: 337-233-1114
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