KEISHONDRA MONIQUE LOVELY

LAKE CHARLES, LA
NPI1730617945
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-06-01
Last Update Date2019-07-02
Business Address
KEISHONDRA MONIQUE LOVELY
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586
Mailing Address
KEISHONDRA MONIQUE LOVELY
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number:
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