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1578628533
LISA TADLOCK
BOGALUSA, LA
NPI
1578628533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 3975)
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
Ms. LISA TADLOCK LCSW
302 RICHMOND ST
BOGALUSA, LA 70427-3942
Phone number: 985-732-5580
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Mailing Address
Ms. LISA TADLOCK LCSW
302 RICHMOND ST
BOGALUSA, LA 70427-3942
Phone number: 985-732-5580
Copy
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