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1992042816
KATHERINE ELAINE WYNN
PINEVILLE, LA
NPI
1992042816
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA CIT 3186)
Enumeration Date
2013-01-11
Last Update Date
2013-01-11
Business Address
-- KATHERINE ELAINE WYNN CIT 3186
242 W SHAMROCK AVE UNIT 1
PINEVILLE, LA 71360-6439
Phone number: 318-484-6375
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Mailing Address
-- KATHERINE ELAINE WYNN CIT 3186
242 W SHAMROCK AVE UNIT 1
PINEVILLE, LA 71360-6439
Phone number: 318-484-6375
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