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1558334938
SUSAN BLAKSTONE
LAFAYETTE, LA
NPI
1558334938
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: LA 2215)
Enumeration Date
2006-02-08
Last Update Date
2007-07-08
Business Address
-- SUSAN BLAKSTONE LCSW
345 DOUCET RD
LAFAYETTE, LA 70503-3407
Phone number: 337-989-2084
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Mailing Address
-- SUSAN BLAKSTONE LCSW
PO BOX 1254
BROUSSARD, LA 70518-1254
Phone number: 337-837-9837
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