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1164971321
KIM MOTEN
MARRERO, LA
NPI
1164971321
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-09-29
Last Update Date
2018-07-27
Business Address
KIM MOTEN MHS
5272 MOUNT SHASTA DR
MARRERO, LA 70072
Phone number: 504-609-4578
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Mailing Address
KIM MOTEN MHS
5272 MOUNT SHASTA DR
MARRERO, LA 70072-5262
Phone number: 504-609-4578
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