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1003490004
IRINA SLEPTSOVA
MANDEVILLE, LA
NPI
1003490004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 15245)
Enumeration Date
2021-05-06
Last Update Date
2021-05-06
Business Address
IRINA SLEPTSOVA LMSW
23515 HIGHWAY 190
MANDEVILLE, LA 70448-7334
Phone number: 985-626-6317
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Mailing Address
IRINA SLEPTSOVA LMSW
738 CLAIRE DR
MANDEVILLE, LA 70471-2861
Phone number:
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