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1699928226
EDISON CALLOWAY
HOUMA, LA
NPI
1699928226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 4009)
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
Mr. EDISON CALLOWAY MS
521 LEGION AVE
HOUMA, LA 70364-3339
Phone number: 985-857-3612
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Mailing Address
Mr. EDISON CALLOWAY MS
521 LEGION AVE
HOUMA, LA 70364-3339
Phone number: 985-857-3612
Copy
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