TRACEY HAWTHORNE BLACKWELL

PINEVILLE, LA
NPI1245347376
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  R1971)
Enumeration Date2006-08-24
Last Update Date2007-07-08
Business Address
Mrs. TRACEY HAWTHORNE BLACKWELL BSW., CIT
MEADOW LANE UNIT 6
PINEVILLE, LA 71360
Phone number: 318-484-6400
Mailing Address
Mrs. TRACEY HAWTHORNE BLACKWELL BSW., CIT
613 PENICK ST
PINEVILLE, LA 71360-5246
Phone number: 318-484-6795
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