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1790838142
MICKEY MAYO
PINEVILLE, LA
NPI
1790838142
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 2209)
Enumeration Date
2007-01-19
Last Update Date
2008-08-08
Business Address
Ms. MICKEY MAYO LCSW
242 W SHAMROCK AVE.
PINEVILLE, LA 71360
Phone number: 318-484-6255
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Mailing Address
Ms. MICKEY MAYO LCSW
PO BOX 5031
PINEVILLE, LA 71361-5031
Phone number: 318-484-6255
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