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1467481390
MARGARET MASCOLL
LAKE CHARLES, LA
NPI
1467481390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 156)
Enumeration Date
2006-07-02
Last Update Date
2007-07-08
Business Address
-- MARGARET MASCOLL LAC, CCGC
4012 AVENUE H
LAKE CHARLES, LA 70615-5186
Phone number: 337-491-2355
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Mailing Address
-- MARGARET MASCOLL LAC, CCGC
601 HOLMES ST
LAKE CHARLES, LA 70615-3717
Phone number: 337-436-3508
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