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1730613654
GWENDOLYN HART
SLIDELL, LA
NPI
1730613654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 004276909)
Enumeration Date
2017-04-18
Last Update Date
2017-04-18
Business Address
-- GWENDOLYN HART
2053 GAUSE BLVD E STE 150
SLIDELL, LA 70461-5451
Phone number: 985-649-1001
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Mailing Address
-- GWENDOLYN HART
2053 GAUSE BLVD E STE 150
SLIDELL, LA 70461-5451
Phone number: 985-649-1001
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