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1780160960
ANDRE ANDERSON
LAKE CHARLES, LA
NPI
1780160960
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-07-11
Last Update Date
2018-07-11
Business Address
ANDRE ANDERSON BS
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586
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Mailing Address
ANDRE ANDERSON BS
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586
Copy
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