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1245600527
SEANATHAN POLIDORE
LAFAYETTE, LA
NPI
1245600527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-09-30
Last Update Date
2019-05-14
Business Address
SEANATHAN POLIDORE
315 S COLLEGE RD STE 220
LAFAYETTE, LA 70503
Phone number: 337-456-7882
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Mailing Address
SEANATHAN POLIDORE
315 S COLLEGE RD STE 220
LAFAYETTE, LA 70503-3221
Phone number: 337-456-7882
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