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1316457971
CLAIRE CONERLY MADDEN
SHREVEPORT, LA
NPI
1316457971
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 3340)
Enumeration Date
2017-10-09
Last Update Date
2017-10-09
Business Address
CLAIRE CONERLY MADDEN CIT
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104-2002
Phone number: 318-222-8511
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Mailing Address
CLAIRE CONERLY MADDEN CIT
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104-2002
Phone number: 318-222-8511
Copy
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