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1851764070
KRISTINA DIANNE PEDESCLEAUX
SLIDELL, LA
NPI
1851764070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-10
Last Update Date
2018-11-05
Business Address
KRISTINA DIANNE PEDESCLEAUX
2053 GAUSE BLVD E
SLIDELL, LA 70461-5449
Phone number: 985-649-1001
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Mailing Address
KRISTINA DIANNE PEDESCLEAUX
2053 GAUSE BLVD E
SLIDELL, LA 70461-5449
Phone number: 985-649-1001
Copy
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