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1679074108
LAQUANE HENRY
LAFAYETTE, LA
NPI
1679074108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-02-21
Last Update Date
2019-02-05
Business Address
LAQUANE HENRY
105 INDUSTRIAL PKWY
LAFAYETTE, LA 70508-3207
Phone number: 337-534-0254
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Mailing Address
LAQUANE HENRY
105 INDUSTRIAL PKWY
LAFAYETTE, LA 70508-3207
Phone number:
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