SEANATHAN POLIDORE

LAFAYETTE, LA
NPI1245600527
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2015-09-30
Last Update Date2019-05-14
Business Address
SEANATHAN POLIDORE
315 S COLLEGE RD STE 220
LAFAYETTE, LA 70503
Phone number: 337-456-7882
Mailing Address
SEANATHAN POLIDORE
315 S COLLEGE RD STE 220
LAFAYETTE, LA 70503-3221
Phone number: 337-456-7882
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