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1245007814
CHANTELL WILSON
LAFAYETTE, LA
NPI
1245007814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 18154)
Enumeration Date
2023-12-05
Last Update Date
2023-12-05
Business Address
CHANTELL WILSON CSW
302 DULLES DR
LAFAYETTE, LA 70506-3008
Phone number: 337-262-4905
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Mailing Address
CHANTELL WILSON CSW
302 DULLES DR
LAFAYETTE, LA 70506-3008
Phone number: 337-262-4905
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