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1184070229
ELICIA SANDERS
LAKE CHARLES, LA
NPI
1184070229
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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
2016-05-08
Last Update Date
2018-11-13
Business Address
ELICIA SANDERS
803 W BAYOU PINES DR
LAKE CHARLES, LA 70601-7096
Phone number: 337-990-5305
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Mailing Address
ELICIA SANDERS
803 W BAYOU PINES DR
LAKE CHARLES, LA 70601-7096
Phone number:
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