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Individual

NANCY BASS TEXADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
525 SOUTH BUCHANAN, LAFAYETTE, LA 70501
(337) 237-2090
(337) 237-2083
Mailing address
525 S BUCHANAN ST, LAFAYETTE, LA 70501-6815
(337) 237-2090
(337) 237-2083

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/13/2017
Last updated
07/21/2022
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