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1326655051
TINA SIMON GRICE
METAIRIE, LA
NPI
1326655051
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 3258)
Enumeration Date
2020-09-27
Last Update Date
2020-09-27
Business Address
Mrs. TINA SIMON GRICE LCSW
2820 ATHANIA PKWY STE 1
METAIRIE, LA 70002-5981
Phone number: 504-616-4511
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Mailing Address
Mrs. TINA SIMON GRICE LCSW
1101 AIRLINE PARK BLVD
METAIRIE, LA 70003-4703
Phone number: 504-616-4511
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