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Individual

MARQUITA PABON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
805 S UNION ST, OPELOUSAS, LA 70570-6029
(337) 678-4004
Mailing address
805 S UNION ST, OPELOUSAS, LA 70570-6029

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
104100000X
Social Worker
10633
LA

Other

Enumeration date
05/14/2017
Last updated
05/14/2017
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