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1447766142
KIRSTON GARDNER
NEW IBERIA, LA
NPI
1447766142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-12-18
Last Update Date
2018-06-28
Business Address
KIRSTON GARDNER
902 JEFFERSON TER STE D
NEW IBERIA, LA 70560
Phone number: 337-256-8704
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Mailing Address
KIRSTON GARDNER
902 JEFFERSON TER STE D
NEW IBERIA, LA 70560-5700
Phone number: 337-256-8704
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