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1912333873
JEANNE ELIZABETH FERNANDEZ
LAFAYETTE, LA
NPI
1912333873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA RAC 1301)
Enumeration Date
2013-09-23
Last Update Date
2013-09-23
Business Address
Miss JEANNE ELIZABETH FERNANDEZ RAC
302 DULLES DR
LAFAYETTE, LA 70506-3008
Phone number: 337-262-5464
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Mailing Address
Miss JEANNE ELIZABETH FERNANDEZ RAC
302 DULLES DR
LAFAYETTE, LA 70506-3008
Phone number: 337-262-5464
Copy
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