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1730621996
TEQUILA WOODS
NEW ORLEANS, LA
NPI
1730621996
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2016-11-04
Last Update Date
2018-05-15
Business Address
TEQUILA WOODS
1817 CONTI ST
NEW ORLEANS, LA 70112
Phone number: 504-784-8393
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Mailing Address
TEQUILA WOODS
1817 CONTI ST
NEW ORLEANS, LA 70112-3607
Phone number: 504-784-8393
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