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1447810338
MCCOY-PROVIDER PSYCHOLOGY LLC
LAFAYETTE, LA
NPI
1447810338
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Entity Type
Organization
Authorized Contact
KRISTOFFER MCCOY
Manager
337-962-1735
Organization Subpart ?
No
Primary Taxonomy
103T00000X Psychologist
Enumeration Date
2019-06-13
Last Update Date
2019-06-18
Business Address
MCCOY-PROVIDER PSYCHOLOGY LLC
132 DEMANADE BLVD
LAFAYETTE, LA 70503-2508
Phone number: 337-962-1735
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Mailing Address
MCCOY-PROVIDER PSYCHOLOGY LLC
132 DEMANADE BLVD
LAFAYETTE, LA 70503-2508
Phone number: 337-962-1735
Copy
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