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1164993085
JENEA RONIQUE FREDERICK
OPELOUSAS, LA
NPI
1164993085
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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
2018-12-17
Last Update Date
2019-01-21
Business Address
Mrs. JENEA RONIQUE FREDERICK
209 N MAIN ST
OPELOUSAS, LA 70570-6256
Phone number: 337-942-6400
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Mailing Address
Mrs. JENEA RONIQUE FREDERICK
187 MANDY RD
OPELOUSAS, LA 70570-2491
Phone number:
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