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1093230096
AMANDA E BLAIR
COVINGTON, LA
NPI
1093230096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 11589)
Enumeration Date
2017-08-10
Last Update Date
2017-08-10
Business Address
-- AMANDA E BLAIR LCSW
112 INNWOOD DR
COVINGTON, LA 70433-9134
Phone number: 225-436-2011
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Mailing Address
-- AMANDA E BLAIR LCSW
916 AGNES ST
MANDEVILLE, LA 70448-6502
Phone number:
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