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1659543239
CHRISTINA GRACE ELLENDER
LAKE CHARLES, LA
NPI
1659543239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-03-24
Last Update Date
2008-03-24
Business Address
Miss CHRISTINA GRACE ELLENDER CIT
3505 5TH AVE STE B
LAKE CHARLES, LA 70607-2156
Phone number: 337-475-4855
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Mailing Address
Miss CHRISTINA GRACE ELLENDER CIT
113 CASSY DR
SULPHUR, LA 70663-6555
Phone number: 337-475-4855
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