KELLEY M SANDOVAL

PINEVILLE, LA
NPI1679878235
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: LA  RAC #1340)
Enumeration Date2011-01-12
Last Update Date2011-01-12
Business Address
KELLEY M SANDOVAL RAC
401 RAINBOW DR UNIT 35
PINEVILLE, LA 71360-6979
Phone number: 318-487-5191
Mailing Address
KELLEY M SANDOVAL RAC
401 RAINBOW DR UNIT 35
PINEVILLE, LA 71360-6979
Phone number: 318-487-5191
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