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Individual

JACQUALYN LACOMBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BEHAVIOR TECH

Contact information

Practice address
1215 INDEPENDENCE BLVD, ZACHARY, LA 70791-7390
(225) 286-1547
Mailing address
4210 OAK DR, FORDOCHE, LA 70732-3208
(225) 588-6121

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/02/2022
Last updated
09/02/2022
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