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Individual

KIESHA MARIE CONNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CIT, MSW, CSW

Contact information

Practice address
109 DOTY RD, FERRIDAY, LA 71334-4053
(318) 437-7040
(318) 437-7041
Mailing address
712 TEXAS AVE, FERRIDAY, LA 71334-2742
(318) 437-7040
(318) 437-7041

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CIT-6131
LA

Other

Enumeration date
04/29/2026
Last updated
04/29/2026
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