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1578252011
LIAM EDWARD VINCIFORA
COVINGTON, LA
NPI
1578252011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 5354)
Enumeration Date
2023-05-02
Last Update Date
2023-05-02
Business Address
LIAM EDWARD VINCIFORA C.I.T
1016 1/2 W 21ST AVE
COVINGTON, LA 70433-7443
Phone number: 985-276-4165
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Mailing Address
LIAM EDWARD VINCIFORA C.I.T
1016 1/2 W 21ST AVE
COVINGTON, LA 70433-7443
Phone number: 985-276-4165
Copy
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