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1720571961
TAMIA CUNNINGHAM BALLOU
LAKE CHARLES, LA
NPI
1720571961
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2018-06-12
Last Update Date
2020-03-23
Business Address
TAMIA CUNNINGHAM BALLOU
751 BAYOU PINES EAST DR STE C
LAKE CHARLES, LA 70601-7196
Phone number: 337-433-3292
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Mailing Address
TAMIA CUNNINGHAM BALLOU
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number: 337-433-3292
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