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1336513449
MAHOGANY GATES
MONROE, LA
NPI
1336513449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-01
Last Update Date
2018-06-01
Business Address
MAHOGANY GATES
1010 N 9TH ST
MONROE, LA 71201
Phone number: 318-410-1062
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Mailing Address
MAHOGANY GATES
4951 CENTRAL AVE
MONROE, LA 71203-6156
Phone number: 318-410-1062
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