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1265951156
TERRANCE ANDERSON
LAKE CHARLES, LA
NPI
1265951156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-09-12
Last Update Date
2019-01-22
Business Address
TERRANCE ANDERSON
2805 5TH AVE
LAKE CHARLES, LA 70601-7913
Phone number: 337-429-5672
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Mailing Address
TERRANCE ANDERSON
2805 5TH AVE
LAKE CHARLES, LA 70601-7913
Phone number:
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