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1407229404
ALICIA GARDNER
LAFAYETTE, LA
NPI
1407229404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-12
Last Update Date
2018-05-22
Business Address
ALICIA GARDNER
116 BERTRAND DR
LAFAYETTE, LA 70506
Phone number: 337-261-8781
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Mailing Address
ALICIA GARDNER
2512 PHYLLIS DR
NEW IBERIA, LA 70560-8307
Phone number:
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