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1457970204
AMANDA EVANGELINE CLELAND
HAMMOND, LA
NPI
1457970204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-04-13
Last Update Date
2020-04-13
Business Address
AMANDA EVANGELINE CLELAND
615 PRIDE DR
HAMMOND, LA 70401-9523
Phone number: 985-419-1666
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Mailing Address
AMANDA EVANGELINE CLELAND
615 PRIDE DR
HAMMOND, LA 70401-9523
Phone number:
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