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1043725781
CRYSTAL ANTLE
BATON ROUGE, LA
NPI
1043725781
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 8331)
Enumeration Date
2017-12-04
Last Update Date
2017-12-04
Business Address
Mrs. CRYSTAL ANTLE LCSW
7620 GOODWOOD BLVD
BATON ROUGE, LA 70806-7622
Phone number: 225-978-0008
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Mailing Address
Mrs. CRYSTAL ANTLE LCSW
12636 LARIAT AVE
GREENWELL SPRINGS, LA 70739-3035
Phone number: 225-978-8336
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