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1356900013
MARY ELISE TRAHAN
LAFAYETTE, LA
NPI
1356900013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-06-06
Last Update Date
2019-06-06
Business Address
MARY ELISE TRAHAN LAC
501 W SAINT MARY BLVD STE 210
LAFAYETTE, LA 70506-4699
Phone number: 337-233-1114
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Mailing Address
MARY ELISE TRAHAN LAC
PO BOX 53388
LAFAYETTE, LA 70505-3388
Phone number:
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