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1306197603
THEODORE JOSEPH DICKENS
METAIRIE, LA
NPI
1306197603
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 4758)
Enumeration Date
2012-09-26
Last Update Date
2012-09-26
Business Address
-- THEODORE JOSEPH DICKENS LCSW
4009 HENICAN PL
METAIRIE, LA 70003-1309
Phone number: 504-610-7722
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Mailing Address
-- THEODORE JOSEPH DICKENS LCSW
4009 HENICAN PL
METAIRIE, LA 70003-1309
Phone number: 504-610-7722
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