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1861143729
DEIDRE G KIBBE
GONZALES, LA
NPI
1861143729
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 4133)
Enumeration Date
2022-01-12
Last Update Date
2022-01-12
Business Address
DEIDRE G KIBBE LCSW
13284 MILL POINT AVE
GONZALES, LA 70737-6295
Phone number: 225-963-0331
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Mailing Address
DEIDRE G KIBBE LCSW
13284 MILL POINT AVE
GONZALES, LA 70737-6295
Phone number: 225-963-0331
Copy
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