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1679084925
MARY TERESA WILLCOX
BOSSIER CITY, LA
NPI
1679084925
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 3259)
Enumeration Date
2017-10-13
Last Update Date
2017-10-13
Business Address
Mrs. MARY TERESA WILLCOX CIT
1525 FULLILOVE DR
BOSSIER CITY, LA 71112-3346
Phone number: 318-747-1211
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Mailing Address
Mrs. MARY TERESA WILLCOX CIT
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104-2002
Phone number: 318-222-8511
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