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1861867764
FLESHANNE MAZE
LAFAYETTE, LA
NPI
1861867764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-03
Last Update Date
2018-12-31
Business Address
FLESHANNE MAZE
1144 COOLIDGE BLVD STE C
LAFAYETTE, LA 70503-2622
Phone number: 337-266-7171
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Mailing Address
FLESHANNE MAZE
1144 COOLIDGE BLVD STE C
LAFAYETTE, LA 70503-2622
Phone number: 337-266-7171
Copy
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