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1245681618
LACY TABOR
THIBODAUX, LA
NPI
1245681618
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-06-28
Last Update Date
2018-08-31
Business Address
LACY TABOR
102 W 2ND ST
THIBODAUX, LA 70301
Phone number: 985-446-5244
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Mailing Address
LACY TABOR
102 W 2ND ST
THIBODAUX, LA 70301-3004
Phone number: 985-446-5244
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