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1487026159
THEODORA MARTIN
ALEXANDRIA, LA
NPI
1487026159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2015-10-21
Last Update Date
2018-07-16
Business Address
THEODORA MARTIN
3921 INDEPENDENCE DR STE 104
ALEXANDRIA, LA 71303
Phone number: 318-880-8711
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Mailing Address
THEODORA MARTIN
3921 INDEPENDENCE DR STE 104
ALEXANDRIA, LA 71303-3566
Phone number:
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