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1184172744
JUANITA WALLS
ALEXANDRIA, LA
NPI
1184172744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2016-09-13
Last Update Date
2016-09-13
Business Address
Mrs. JUANITA WALLS
3600 GOVERNMENT ST
ALEXANDRIA, LA 71302-3324
Phone number: 318-792-3338
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Mailing Address
Mrs. JUANITA WALLS
5909 DEERFIELD DR
ALEXANDRIA, LA 71301-2414
Phone number: 318-792-3338
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