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1508640533
MADISON KIMBRELL
SLIDELL, LA
NPI
1508640533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2023-08-21
Last Update Date
2024-05-07
Business Address
MADISON KIMBRELL
118 VILLAGE ST STE A
SLIDELL, LA 70458-5302
Phone number: 985-781-4444
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Mailing Address
MADISON KIMBRELL
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number: 225-478-9685
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