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1265633812
MICHAEL H RIVERS
LAKE CHARLES, LA
NPI
1265633812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-30
Last Update Date
2007-07-08
Business Address
Mr. MICHAEL H RIVERS CIT
3505 5TH AVE STE B
LAKE CHARLES, LA 70607-2156
Phone number: 337-475-4855
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Mailing Address
Mr. MICHAEL H RIVERS CIT
4010 LOUISIANA AVE APT 1015
LAKE CHARLES, LA 70607-8005
Phone number: 713-628-1762
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