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1982257366
LISA S RIVARDE
SLIDELL, LA
NPI
1982257366
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 3892)
Enumeration Date
2019-07-24
Last Update Date
2019-07-24
Business Address
LISA S RIVARDE LPC
2836 FRONT ST.
SLIDELL, LA 70458
Phone number: 504-577-7103
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Mailing Address
LISA S RIVARDE LPC
3628 MEADOWDALE DR
SLIDELL, LA 70458
Phone number: 504-577-7103
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