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1699016428
MAYANCE JOSEPH MATHIEU
LAKE CHARLES, LA
NPI
1699016428
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 4053)
Enumeration Date
2013-03-04
Last Update Date
2013-03-04
Business Address
Mr. MAYANCE JOSEPH MATHIEU ma., lpc
7378 HIGHWAY 90 E
LAKE CHARLES, LA 70615-4803
Phone number: 337-436-7553
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Mailing Address
Mr. MAYANCE JOSEPH MATHIEU ma., lpc
2733 RUE CANNES DR
LAKE CHARLES, LA 70605-4044
Phone number: 337-540-3427
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