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1407201973
STACEY PETTIES
COVINGTON, LA
NPI
1407201973
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-05-03
Last Update Date
2023-11-09
Business Address
STACEY PETTIES
19331 N. 12TH ST
COVINGTON, LA 70433
Phone number: 985-400-5901
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Mailing Address
STACEY PETTIES
19331 N. 12TH ST
COVINGTON, LA 70433
Phone number: 985-400-5901
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