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1265938575
MARQUITA R GRAY
LAKE CHARLES, LA
NPI
1265938575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-04-04
Last Update Date
2018-04-04
Business Address
MARQUITA R GRAY MS
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586
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Mailing Address
MARQUITA R GRAY MS
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586
Copy
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