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1912471335
DENA MASON THERIOT
SLIDELL, LA
NPI
1912471335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 3282)
Enumeration Date
2019-01-18
Last Update Date
2019-01-18
Business Address
DENA MASON THERIOT LCSW-BACS
620 OAK HARBOR BLVD STE 100
SLIDELL, LA 70458-8862
Phone number: 504-259-6724
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Mailing Address
DENA MASON THERIOT LCSW-BACS
4620 PONTCHARTRAIN DR APT N
SLIDELL, LA 70458-5546
Phone number: 504-259-6724
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