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1902141658
TARA FONTENOT
LAFAYETTE, LA
NPI
1902141658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 11438)
Enumeration Date
2012-12-06
Last Update Date
2020-12-16
Business Address
TARA FONTENOT
302 DULLES DR
LAFAYETTE, LA 70506-3008
Phone number: 337-262-4100
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Mailing Address
TARA FONTENOT
302 DULLES DR
LAFAYETTE, LA 70506-3008
Phone number: 337-262-4100
Copy
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