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1104068170
ANNIE WINGATE SPELL
LAFAYETTE, LA
NPI
1104068170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: LA 1097)
Enumeration Date
2009-04-06
Last Update Date
2009-07-09
Business Address
Dr. ANNIE WINGATE SPELL Ph.D.
119 RUE FOUNTAINE
LAFAYETTE, LA 70508-5744
Phone number: 337-988-2874
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Mailing Address
Dr. ANNIE WINGATE SPELL Ph.D.
119 RUE FOUNTAINE
LAFAYETTE, LA 70508-5744
Phone number: 337-988-2874
Copy
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