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1669839379
ERIC THOMAS ROSCOE
LAKE CHARLES, LA
NPI
1669839379
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2016-01-26
Last Update Date
2016-01-26
Business Address
ERIC THOMAS ROSCOE
1202 KIRKMAN ST STE A
LAKE CHARLES, LA 70601-5391
Phone number: 337-419-3586
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Mailing Address
ERIC THOMAS ROSCOE
1202 KIRKMAN ST STE A
LAKE CHARLES, LA 70601-5391
Phone number: 337-419-3586
Copy
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