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1437264660
CHARLES E THOMAS
PINEVILLE, LA
NPI
1437264660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA R-1327)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
-- CHARLES E THOMAS SSC,CIT.
401 RAINBOW DR UNIT 35
PINEVILLE, LA 71360-6979
Phone number: 318-484-6617
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Mailing Address
-- CHARLES E THOMAS SSC,CIT.
2011 LYNDA LEE ST
ALEXANDRIA, LA 71301-4233
Phone number: 318-792-5694
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