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1366089211
LAUREN ANTOINETTE HOUSE
LAUREL, MS
NPI
1366089211
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2019-12-10
Last Update Date
2019-12-10
Business Address
LAUREN ANTOINETTE HOUSE
119 S 12TH AVE
LAUREL, MS 39440-4322
Phone number: 601-342-8125
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Mailing Address
LAUREN ANTOINETTE HOUSE
800 E RIVER PL STE 100
JACKSON, MS 39202-3402
Phone number: 313-645-6515
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