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1588010367
JASON LEDOUX
LAKE CHARLES, LA
NPI
1588010367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-05-10
Last Update Date
2018-05-31
Business Address
Mr. JASON LEDOUX
803 W BAYOU PINES DR SUITE F
LAKE CHARLES, LA 70601
Phone number: 337-990-5305
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Mailing Address
Mr. JASON LEDOUX
1202 KIRKMAN ST STE C
LAKE CHARLES, LA 70601-5391
Phone number: 337-990-5305
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