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1457894297
KIMBERLY RUSSELL
LAKE CHARLES, LA
NPI
1457894297
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2016-11-28
Last Update Date
2018-07-30
Business Address
KIMBERLY RUSSELL
751 BAYOU PINES EAST DR STE C
LAKE CHARLES, LA 70601-7196
Phone number: 337-433-3292
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Mailing Address
KIMBERLY RUSSELL
751 BAYOU PINES EAST DR STE C
LAKE CHARLES, LA 70601-7196
Phone number: 337-433-3292
Copy
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