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1295574390
LISSA J WATSON
MANDEVILLE, LA
NPI
1295574390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-05-20
Last Update Date
2024-10-19
Business Address
LISSA J WATSON
23363 S ROBIN RD
MANDEVILLE, LA 70448-7381
Phone number: 985-624-4100
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Mailing Address
LISSA J WATSON
PO BOX 37
MANDEVILLE, LA 70470-0037
Phone number: 985-624-4100
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