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1235983628
MICHELLE RENA HOLSTON
LAFAYETTE, LA
NPI
1235983628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 8305)
Enumeration Date
2024-04-12
Last Update Date
2024-04-12
Business Address
MICHELLE RENA HOLSTON
4023 AMBASSADOR CAFFERY PKWY STE 507
LAFAYETTE, LA 70503-5268
Phone number: 337-284-0820
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Mailing Address
MICHELLE RENA HOLSTON
4023 AMBASSADOR CAFFERY PKWY STE 507
LAFAYETTE, LA 70503-5268
Phone number: 337-284-0820
Copy
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