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Individual

AUDREANA MONIQUE SILVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1202 KIRKMAN ST STE C, LAKE CHARLES, LA 70601-5391
(337) 990-5305
Mailing address
1202 KIRKMAN ST STE C, LAKE CHARLES, LA 70601-5391
(510) 294-0755

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
10/04/2022
Last updated
10/04/2022
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