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1417329863
TEQUILLA BARKSDALE
LAKE CHARLES, LA
NPI
1417329863
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 8773)
Enumeration Date
2015-10-26
Last Update Date
2015-10-26
Business Address
-- TEQUILLA BARKSDALE LMSW
1333 COMMON ST
LAKE CHARLES, LA 70601-5255
Phone number: 337-437-4014
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Mailing Address
-- TEQUILLA BARKSDALE LMSW
1333 COMMON ST
LAKE CHARLES, LA 70601-5255
Phone number: 337-437-4014
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