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1720350457
KACEY TYSON TUBBS
BASTROP, LA
NPI
1720350457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 4348)
Enumeration Date
2012-01-26
Last Update Date
2024-04-09
Business Address
KACEY TYSON TUBBS LPC, RSW
1001 W MADISON AVE
BASTROP, LA 71220-4331
Phone number: 318-281-8422
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Mailing Address
KACEY TYSON TUBBS LPC, RSW
PO BOX 792
BASTROP, LA 71221-0792
Phone number: 318-283-8887
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