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1033730494
GARY LIEBERT
LAFAYETTE, LA
NPI
1033730494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 4247)
Enumeration Date
2020-04-27
Last Update Date
2020-04-27
Business Address
GARY LIEBERT CIT
401 W VERMILION ST
LAFAYETTE, LA 70501-6729
Phone number: 337-354-9736
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Mailing Address
GARY LIEBERT CIT
401 W VERMILION ST
LAFAYETTE, LA 70501-6729
Phone number: 337-354-9736
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