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1629431135
MARK WARE
LAKE CHARLES, LA
NPI
1629431135
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-04-01
Last Update Date
2016-04-01
Business Address
-- MARK WARE
2706 HODGES ST
LAKE CHARLES, LA 70601-7366
Phone number: 337-491-1740
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Mailing Address
-- MARK WARE
2706 HODGES ST
LAKE CHARLES, LA 70601-7366
Phone number: 337-491-1740
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