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1356797401
JACINDA MALVEAUX
LAKE CHARLES, LA
NPI
1356797401
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 1095)
Enumeration Date
2016-05-09
Last Update Date
2016-05-10
Business Address
-- JACINDA MALVEAUX LAC
2829 4TH AVE
LAKE CHARLES, LA 70601-7887
Phone number: 337-433-8281
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Mailing Address
-- JACINDA MALVEAUX LAC
2829 4TH AVE STE 200
LAKE CHARLES, LA 70601-7834
Phone number: 785-317-3952
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