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1003341686
KRYSTAL JACQUELLE COLLINS
AMITE, LA
NPI
1003341686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-04-20
Last Update Date
2017-04-20
Business Address
Ms. KRYSTAL JACQUELLE COLLINS
104 SASSAFRAS ST
AMITE, LA 70422-3425
Phone number: 225-644-8565
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Mailing Address
Ms. KRYSTAL JACQUELLE COLLINS
104 SASSAFRAS ST
AMITE, LA 70422-3425
Phone number: 225-644-8565
Copy
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