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1689020687
CHARLES DEWAYNE KLINE
MONROE, LA
NPI
1689020687
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-05-09
Last Update Date
2018-06-11
Business Address
Mr. CHARLES DEWAYNE KLINE RSW
4951 CENTRAL AVE
MONROE, LA 71203
Phone number: 318-340-1535
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Mailing Address
Mr. CHARLES DEWAYNE KLINE RSW
850 KALISTE SALOOM RD STE 117
LAFAYETTE, LA 70508-4230
Phone number: 337-234-7109
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