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1447867189
GRACE LUCILLE MAMOU
LA PLACE, LA
NPI
1447867189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 7004)
Enumeration Date
2020-09-27
Last Update Date
2020-09-27
Business Address
GRACE LUCILLE MAMOU LPC
799 FAIRWAY DR
LA PLACE, LA 70068-2007
Phone number: 985-652-0022
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Mailing Address
GRACE LUCILLE MAMOU LPC
PO BOX 169
GARYVILLE, LA 70051-0169
Phone number: 985-233-9807
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