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1164950309
KIMBERLY J EVANS
LAKE CHARLES, LA
NPI
1164950309
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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
2017-06-01
Last Update Date
2019-06-25
Business Address
KIMBERLY J EVANS
1409 KIRKMAN STREET
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-2354
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Mailing Address
KIMBERLY J EVANS
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number:
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