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1316466378
BRANDY LION
MANDEVILLE, LA
NPI
1316466378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-09-11
Last Update Date
2017-09-11
Business Address
BRANDY LION
600 MARINERS PLAZA DR STE 603
MANDEVILLE, LA 70448-6826
Phone number: 985-465-4250
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Mailing Address
BRANDY LION
121 MADEWOOD DR
MANDEVILLE, LA 70471-8230
Phone number:
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