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1700466752
STACI MADDOX
LAKE CHARLES, LA
NPI
1700466752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-04-13
Last Update Date
2021-04-13
Business Address
STACI MADDOX
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586
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Mailing Address
STACI MADDOX
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586
Copy
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