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1124552625
STACEY P NEVILLS
OPELOUSAS, LA
NPI
1124552625
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-04-12
Last Update Date
2017-04-12
Business Address
-- STACEY P NEVILLS
1209 DIESI ST
OPELOUSAS, LA 70570-7823
Phone number: 337-418-7319
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Mailing Address
-- STACEY P NEVILLS
PO BOX 374
OPELOUSAS, LA 70571-0374
Phone number: 337-418-7319
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