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1073963310
LAQUARDRICK CANADA
MANSFIELD, LA
NPI
1073963310
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-06-17
Last Update Date
2016-06-17
Business Address
-- LAQUARDRICK CANADA
107 CAROLYN ST
MANSFIELD, LA 71052-2901
Phone number: 318-461-1260
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Mailing Address
-- LAQUARDRICK CANADA
107 CAROLYN ST
MANSFIELD, LA 71052-2901
Phone number:
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