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1871018747
LACIEE E ROUSSEAU
CAPE GIRARDEAU, MO
NPI
1871018747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2017-08-11
Last Update Date
2022-07-21
Business Address
LACIEE E ROUSSEAU
20 S SPRIGG ST
CAPE GIRARDEAU, MO 63703-6212
Phone number: 573-651-4177
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Mailing Address
LACIEE E ROUSSEAU
20 S SPRIGG ST
CAPE GIRARDEAU, MO 63703-6212
Phone number: 573-651-4177
Copy
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