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1295915387
KONI BREAUX BRIDGES
LAKE CHARLES, LA
NPI
1295915387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 2739)
Enumeration Date
2007-11-06
Last Update Date
2019-02-15
Business Address
KONI BREAUX BRIDGES LCSW
108 STATE ST
LAKE CHARLES, LA 70605-5718
Phone number: 337-625-5664
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Mailing Address
KONI BREAUX BRIDGES LCSW
PO BOX 1865
SULPHUR, LA 70664-1865
Phone number: 337-625-5664
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