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1184896763
ALBERTHA J ADCOCK
LAKE CHARLES, LA
NPI
1184896763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 1293)
Enumeration Date
2008-03-24
Last Update Date
2022-08-04
Business Address
Miss ALBERTHA J ADCOCK CAC
4105 KIRKMAN ST
LAKE CHARLES, LA 70607-4603
Phone number: 337-475-8022
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Mailing Address
Miss ALBERTHA J ADCOCK CAC
1851 FOX RUN DR APT 1
LAKE CHARLES, LA 70605-6421
Phone number: 337-794-7237
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