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1184158594
EDNA KING
LAKE PROVIDENCE, LA
NPI
1184158594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-04-12
Last Update Date
2017-04-12
Business Address
-- EDNA KING
1024 3RD ST
LAKE PROVIDENCE, LA 71254-2820
Phone number: 318-282-1649
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Mailing Address
-- EDNA KING
1024 3RD ST
LAKE PROVIDENCE, LA 71254-2820
Phone number:
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