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1346387719
GLENDA SUE RADER
LAFAYETTE, LA
NPI
1346387719
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 849)
Enumeration Date
2007-02-01
Last Update Date
2007-07-08
Business Address
Miss GLENDA SUE RADER LAC
302 DULLES DR
LAFAYETTE, LA 70506-3008
Phone number: 337-262-5464
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Mailing Address
Miss GLENDA SUE RADER LAC
302 DULLES DR
LAFAYETTE, LA 70506-3008
Phone number: 337-262-5464
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