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1033621859
CURT GREEN
BASTROP, LA
NPI
1033621859
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-11-02
Last Update Date
2018-07-03
Business Address
CURT GREEN
644 E JEFFERSON AVE
BASTROP, LA 71220
Phone number: 318-239-3862
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Mailing Address
CURT GREEN
644 E JEFFERSON AVE
BASTROP, LA 71220-4619
Phone number: 318-239-3862
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