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1174027825
VANISE LUSH
TALLULAH, LA
NPI
1174027825
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2018-03-19
Last Update Date
2018-11-30
Business Address
Ms. VANISE LUSH B.A.
124 KIMBROUGH BLVD BLDG Q
TALLULAH, LA 71282-4307
Phone number: 318-574-4400
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Mailing Address
Ms. VANISE LUSH B.A.
124 KIMBROUGH BLVD BLDG Q
TALLULAH, LA 71282-4307
Phone number: 318-574-4400
Copy
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