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1982079026
TACITA LONG
BOSSIER CITY, LA
NPI
1982079026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-01
Last Update Date
2015-12-01
Business Address
-- TACITA LONG
3018 OLD MINDEN RD
BOSSIER CITY, LA 71112-2476
Phone number: 318-658-9927
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Mailing Address
-- TACITA LONG
3018 OLD MINDEN RD
BOSSIER CITY, LA 71112-2476
Phone number: 318-658-9927
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