TRACI MOSS HEDRICK

LAKE CHARLES, LA
NPI1326249970
Former NameTRACI MOSS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  LAC 1122)
Enumeration Date2007-05-30
Last Update Date2011-12-07
Business Address
-- TRACI MOSS HEDRICK LAC, CCDP, CCGC
4105 KIRKMAN ST
LAKE CHARLES, LA 70607-4603
Phone number: 337-475-8022
Mailing Address
-- TRACI MOSS HEDRICK LAC, CCDP, CCGC
4105 KIRKMAN ST
LAKE CHARLES, LA 70607-4603
Phone number: 337-475-8022
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