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Individual

TRICIA BACON LOFTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2104 LOOP ROAD, SUITE C, WINNNSBORO, LA 71295
(318) 435-6377
(318) 435-6378
Mailing address
2104 LOOP ROAD, SUITE C, WINNNSBORO, LA 71295
(318) 435-6377
(318) 435-6378

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
7295
LA

Other

Enumeration date
06/15/2012
Last updated
06/15/2012
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