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1831628494
LISA MOORE
LAKE CHARLES, LA
NPI
1831628494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2017-06-07
Last Update Date
2023-08-14
Business Address
LISA MOORE
2714 TUPELO ST
LAKE CHARLES, LA 70601-7376
Phone number: 337-485-9863
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Mailing Address
LISA MOORE
2714 TUPELO ST
LAKE CHARLES, LA 70601-7376
Phone number: 337-485-9863
Copy
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