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1568848067
SONJA TULLOS SMITH
AMITE, LA
NPI
1568848067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 978)
Enumeration Date
2015-08-06
Last Update Date
2015-08-06
Business Address
-- SONJA TULLOS SMITH LAC 978
804 N 2ND ST
AMITE, LA 70422-2117
Phone number: 985-517-1711
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Mailing Address
-- SONJA TULLOS SMITH LAC 978
804 N 2ND ST
AMITE, LA 70422-2117
Phone number: 985-517-1711
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