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1194109355
TALLACE MADINA
NEW ORLEANS, LA
NPI
1194109355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 5548)
Enumeration Date
2015-07-16
Last Update Date
2015-07-16
Business Address
Ms. TALLACE MADINA LPC, NCC
3520 GENERAL DEGAULLE DR
NEW ORLEANS, LA 70114-6757
Phone number: 504-906-5457
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Mailing Address
Ms. TALLACE MADINA LPC, NCC
PO BOX 7262
BELLE CHASSE, LA 70037-7262
Phone number: 504-906-5457
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