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1942674460
M. CHARISSE GRANGER
LAFAYETTE, LA
NPI
1942674460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 3359)
Enumeration Date
2015-11-20
Last Update Date
2015-11-20
Business Address
Ms. M. CHARISSE GRANGER
100 POYDRAS ST
LAFAYETTE, LA 70501-4740
Phone number: 337-231-6365
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Mailing Address
Ms. M. CHARISSE GRANGER
100 POYDRAS ST
LAFAYETTE, LA 70501-4740
Phone number: 337-231-6365
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