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1962773390
TRESA MCKOIN MOYERS
BASTROP, LA
NPI
1962773390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: LA 1324)
Enumeration Date
2012-01-17
Last Update Date
2012-01-17
Business Address
MRS. TRESA MCKOIN MOYERS CAC
320 S FRANKLIN ST
BASTROP, LA 71220-4539
Phone number: 318-556-7040
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Mailing Address
MRS. TRESA MCKOIN MOYERS CAC
15247 LAKESHORE DR
BONITA, LA 71223-9670
Phone number: 318-823-3077
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