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1659818458
KIMBERLY ANNE MATHIS
LAKE CHARLES, LA
NPI
1659818458
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-01-31
Last Update Date
2017-01-31
Business Address
-- KIMBERLY ANNE MATHIS BS
2711 ERNEST ST
LAKE CHARLES, LA 70601-8406
Phone number: 337-431-7194
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Mailing Address
-- KIMBERLY ANNE MATHIS BS
2711 ERNEST ST
LAKE CHARLES, LA 70601-8406
Phone number: 337-431-7194
Copy
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