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1932568318
CARLISSA ALEXANDER
COVINGTON, LA
NPI
1932568318
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-02-15
Last Update Date
2016-02-15
Business Address
-- CARLISSA ALEXANDER
19331 N 12TH ST
COVINGTON, LA 70433-5228
Phone number: 985-249-1442
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Mailing Address
-- CARLISSA ALEXANDER
19331 N 12TH ST
COVINGTON, LA 70433-5228
Phone number: 985-249-1442
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