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1609386143
INGRID MARTIN
LAKE CHARLES, LA
NPI
1609386143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-10-11
Last Update Date
2017-10-11
Business Address
INGRID MARTIN
1639 RYAN ST
LAKE CHARLES, LA 70601-5948
Phone number: 337-602-6391
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Mailing Address
INGRID MARTIN
1639 RYAN ST
LAKE CHARLES, LA 70601-5948
Phone number:
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