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Individual

KEISHA LACOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5922
(225) 925-1906
(225) 362-5356
Mailing address
4615 GOVERNMENT ST, BUILDING 2, BATON ROUGE, LA 70806-5922
(225) 925-1906
(225) 362-5356

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/31/2017
Last updated
01/31/2017
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