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1730616566
LACEY WILSON
NEW ORLEANS, LA
NPI
1730616566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 1159)
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
Ms. LACEY WILSON
1160 CAMP ST
NEW ORLEANS, LA 70130-4202
Phone number: 504-522-4476
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Mailing Address
Ms. LACEY WILSON
1160 CAMP ST
NEW ORLEANS, LA 70130-4202
Phone number: 504-522-4476
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