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Individual

MICHELLE LEE ROMERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, PLPC

Contact information

Practice address
751 BAYOU PINES EAST DR STE C, LAKE CHARLES, LA 70601-7196
(337) 433-3292
Mailing address
1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 71111-2455

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC9183
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3506
OTHER
LA
Enumeration date
12/06/2023
Last updated
05/23/2024
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