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1710250204
STACEY LEANNE DILLARD
MANSFIELD, LA
NPI
1710250204
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 10036)
Enumeration Date
2012-02-15
Last Update Date
2020-05-04
Business Address
STACEY LEANNE DILLARD
130 JEFFERSON ST
MANSFIELD, LA 71052-2602
Phone number: 318-872-2700
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Mailing Address
STACEY LEANNE DILLARD
130 JEFFERSON ST
MANSFIELD, LA 71052-2602
Phone number: 318-872-2700
Copy
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