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1194116897
LISA THERIOT
DENHAM SPRINGS, LA
NPI
1194116897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 3526)
Enumeration Date
2015-02-17
Last Update Date
2015-02-17
Business Address
-- LISA THERIOT
31091 BLOSSOM ST
DENHAM SPRINGS, LA 70726-1341
Phone number: 985-255-2311
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Mailing Address
-- LISA THERIOT
31091 BLOSSOM ST
DENHAM SPRINGS, LA 70726-1341
Phone number: 985-255-2311
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