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1457808750
LLWENDELLYN PAUL
RUSTON, LA
NPI
1457808750
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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
2016-09-02
Last Update Date
2018-09-25
Business Address
LLWENDELLYN PAUL
206 E REYNOLDS DR STE F
RUSTON, LA 71270-2873
Phone number: 318-254-7050
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Mailing Address
LLWENDELLYN PAUL
1810 CARTER ST
VIDALIA, LA 71373-3115
Phone number: 318-336-4797
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