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1154793313
STACY HAVARD
VIDALIA, LA
NPI
1154793313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-10-28
Last Update Date
2015-10-28
Business Address
-- STACY HAVARD
1644 B CARTER ST
VIDALIA, LA 71373
Phone number: 318-414-3065
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Mailing Address
-- STACY HAVARD
1644 B CARTER STREET. STE 2
VIDALIA, LA 71373
Phone number: 318-414-3065
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