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1639760390
MALLORI ELIZABETH DIEZ
BATON ROUGE, LA
NPI
1639760390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 11847)
Enumeration Date
2021-01-26
Last Update Date
2021-01-26
Business Address
MALLORI ELIZABETH DIEZ LCSW
9915 E GRONER AVE
BATON ROUGE, LA 70809-3817
Phone number: 225-939-1857
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Mailing Address
MALLORI ELIZABETH DIEZ LCSW
9915 E GRONER AVE
BATON ROUGE, LA 70809-3817
Phone number: 225-939-1857
Copy
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