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1215560743
TAMMIE D COLVIN
MONROE, LA
NPI
1215560743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 4058)
Enumeration Date
2020-02-12
Last Update Date
2020-02-12
Business Address
TAMMIE D COLVIN CIT
2321 HIGHWAY 80 E
MONROE, LA 71203-9366
Phone number: 318-600-3333
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Mailing Address
TAMMIE D COLVIN CIT
2321 HIGHWAY 80 E
MONROE, LA 71203-9366
Phone number: 318-600-3333
Copy
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