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1902279078
SHEWANNA MATTOX
LAKE CHARLES, LA
NPI
1902279078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2015-11-11
Last Update Date
2018-06-01
Business Address
SHEWANNA MATTOX
2119 OAK PARK BLVD
LAKE CHARLES, LA 70601
Phone number: 337-497-0034
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Mailing Address
SHEWANNA MATTOX
2119 OAK PARK BLVD
LAKE CHARLES, LA 70601-7863
Phone number:
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