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Individual

ELICIA SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
803 W BAYOU PINES DR, LAKE CHARLES, LA 70601-7096
(337) 990-5305
Mailing address
803 W BAYOU PINES DR, LAKE CHARLES, LA 70601-7096

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
05/08/2016
Last updated
11/13/2018
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