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1902078876
SHIRLEY JOSEPH-DAVISAM
COVINGTON, LA
NPI
1902078876
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 9653)
Enumeration Date
2008-03-31
Last Update Date
2008-03-31
Business Address
-- SHIRLEY JOSEPH-DAVISAM GSW
19404 N 10TH ST
COVINGTON, LA 70433-8892
Phone number: 985-871-1380
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Mailing Address
-- SHIRLEY JOSEPH-DAVISAM GSW
19404 N 10TH ST
COVINGTON, LA 70433-8892
Phone number: 985-871-1380
Copy
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