MADISON VICTORIAN

LAKE CHARLES, LA
NPI1275109852
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-06-03
Last Update Date2021-12-01
Business Address
MADISON VICTORIAN
1202 KIRKMAN ST STE C
LAKE CHARLES, LA 70601-5391
Phone number: 337-990-5305
Mailing Address
MADISON VICTORIAN
1202 KIRKMAN ST STE C
LAKE CHARLES, LA 70601-5391
Phone number: 337-990-5305
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