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1356874887
CENTRELL SELF
HAMMOND, LA
NPI
1356874887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: LA 14439)
Enumeration Date
2017-04-11
Last Update Date
2019-05-16
Business Address
CENTRELL SELF
1417 W MORRIS AVE STE E
HAMMOND, LA 70403-3854
Phone number: 985-542-9949
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Mailing Address
CENTRELL SELF
90 HIGHWAY 1045
AMITE, LA 70422-7264
Phone number:
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