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1194090472
CAROL LEATHERMAN BRIAN
MANY, LA
NPI
1194090472
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 1712)
Enumeration Date
2012-03-20
Last Update Date
2012-03-20
Business Address
-- CAROL LEATHERMAN BRIAN LPC
580 MAIN ST
MANY, LA 71449-3005
Phone number: 318-256-6242
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Mailing Address
-- CAROL LEATHERMAN BRIAN LPC
1219 BERMUDA ROAD
NATCHEZ, LA 71456
Phone number: 318-787-8463
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