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1497112106
DEREK ANDREPONT
LAKE CHARLES, LA
NPI
1497112106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-01-26
Last Update Date
2016-01-26
Business Address
-- DEREK ANDREPONT
1202 KIRKMAN ST A
LAKE CHARLES, LA 70601-5391
Phone number: 214-384-6545
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Mailing Address
-- DEREK ANDREPONT
1202 KIRKMAN ST A
LAKE CHARLES, LA 70601-5391
Phone number: 337-419-3586
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