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1679838916
CORLISS AGUILLARD
MANDEVILLE, LA
NPI
1679838916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 2083)
Enumeration Date
2012-07-12
Last Update Date
2012-07-12
Business Address
-- CORLISS AGUILLARD LCSW
900 WILKINSON ST
MANDEVILLE, LA 70448-3533
Phone number: 985-624-4450
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Mailing Address
-- CORLISS AGUILLARD LCSW
900 WILKINSON ST
MANDEVILLE, LA 70448-3533
Phone number: 985-624-4450
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