KIMBERLY RUSSELL

LAKE CHARLES, LA
NPI1457894297
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101Y00000X Counselor
Enumeration Date2016-11-28
Last Update Date2018-07-30
Business Address
KIMBERLY RUSSELL
751 BAYOU PINES EAST DR STE C
LAKE CHARLES, LA 70601-7196
Phone number: 337-433-3292
Mailing Address
KIMBERLY RUSSELL
751 BAYOU PINES EAST DR STE C
LAKE CHARLES, LA 70601-7196
Phone number: 337-433-3292
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