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1508369448
TYRA TEASLEY
ALEXANDRIA, LA
NPI
1508369448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-03-16
Last Update Date
2019-03-05
Business Address
TYRA TEASLEY
2002 GUS KAPLAN DR
ALEXANDRIA, LA 71301-3358
Phone number: 318-542-4642
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Mailing Address
TYRA TEASLEY
2002 GUS KAPLAN DR
ALEXANDRIA, LA 71301-3358
Phone number: 318-542-4642
Copy
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