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1164927414
KACI EATON
THIBODAUX, LA
NPI
1164927414
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-03-28
Last Update Date
2019-01-17
Business Address
KACI EATON
102 W 2ND ST
THIBODAUX, LA 70301
Phone number: 985-446-5244
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Mailing Address
KACI EATON
107 ALICE DR APT 1
THIBODAUX, LA 70301-5043
Phone number:
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