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1992479422
MINDY LICCIARDI
SLIDELL, LA
NPI
1992479422
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: LA OTT.200029)
Enumeration Date
2021-08-07
Last Update Date
2021-08-07
Business Address
MINDY LICCIARDI MOT
773 WOOD DUCK LN
SLIDELL, LA 70461-1680
Phone number: 504-512-4270
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Mailing Address
MINDY LICCIARDI MOT
773 WOOD DUCK LN
SLIDELL, LA 70461-1680
Phone number:
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