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1104320084
LYNETRISS CELESTINE
SLIDELL, LA
NPI
1104320084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 010804212)
Enumeration Date
2018-03-23
Last Update Date
2018-03-23
Business Address
LYNETRISS CELESTINE
2053 GAUSE BLVD E
SLIDELL, LA 70461-5449
Phone number: 985-649-1001
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Mailing Address
LYNETRISS CELESTINE
2053 GAUSE BLVD E
SLIDELL, LA 70461-5449
Phone number: 985-649-1001
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