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1285104539
KATHLEEN ROSE CANTERBURY
LAKE CHARLES, LA
NPI
1285104539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 4161)
Enumeration Date
2018-11-29
Last Update Date
2018-11-29
Business Address
KATHLEEN ROSE CANTERBURY
145 VICTORIA DR
LAKE CHARLES, LA 70611-4641
Phone number: 337-855-9773
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Mailing Address
KATHLEEN ROSE CANTERBURY
145 VICTORIA DR
LAKE CHARLES, LA 70611-4641
Phone number: 337-855-9773
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