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1770842767
MADELINE FONTENOT
LAFAYETTE, LA
NPI
1770842767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 891)
Enumeration Date
2012-05-10
Last Update Date
2012-05-10
Business Address
-- MADELINE FONTENOT LPC
3 FLAGG PL SUITE A3
LAFAYETTE, LA 70508-7003
Phone number: 337-857-6833
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Mailing Address
-- MADELINE FONTENOT LPC
107 WILD ROSE LN
YOUNGSVILLE, LA 70592-5381
Phone number: 337-857-6833
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