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1811360191
KENNA DIXON
PINEVILLE, LA
NPI
1811360191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 1382)
Enumeration Date
2015-11-09
Last Update Date
2015-11-09
Business Address
-- KENNA DIXON
401 RAINBOW DR UNIT 36
PINEVILLE, LA 71360-6979
Phone number: 318-484-6592
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Mailing Address
-- KENNA DIXON
1800 COMMUNITY
CLINTON, MO 64735-8804
Phone number: 660-890-8186
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