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Individual

MRS. MARY KRISTINA JONES TEW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
626 5TH ST, NORCO, LA 70079-2308
(601) 447-7188
Mailing address
PO BOX 57, NORCO, LA 70079-0057
(601) 447-7188

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CI 5431
MS

Other

Enumeration date
10/10/2016
Last updated
10/10/2016
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