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1033853890
MONIQUE BANTA
PLAQUEMINE, LA
NPI
1033853890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2022-04-26
Last Update Date
2022-04-26
Business Address
MONIQUE BANTA LPC
23520 EDEN ST STE C
PLAQUEMINE, LA 70764-2750
Phone number: 225-289-4621
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Mailing Address
MONIQUE BANTA LPC
58535 SAINT CLEMENT AVE
PLAQUEMINE, LA 70764-3531
Phone number: 225-776-9123
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