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1124554902
KEVINNISHA MACK
NEW ORLEANS, LA
NPI
1124554902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
-- KEVINNISHA MACK
7240 CROWDER BLVD SUITE 202
NEW ORLEANS, LA 70127-1922
Phone number: 504-644-4132
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Mailing Address
-- KEVINNISHA MACK
7240 CROWDER BLVD SUITE 202
NEW ORLEANS, LA 70127-1922
Phone number: 504-644-4132
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