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1699204222
EARL PETER GODFREY
MONROE, LA
NPI
1699204222
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-06-07
Last Update Date
2022-06-21
Business Address
EARL PETER GODFREY
4310 S GRAND ST
MONROE, LA 71202-6322
Phone number: 318-324-5441
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Mailing Address
EARL PETER GODFREY
4310 S GRAND ST
MONROE, LA 71202-6322
Phone number:
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