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1053183905
EDEN VINCENT
BATON ROUGE, LA
NPI
1053183905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA CIT5655)
Enumeration Date
2023-10-24
Last Update Date
2023-10-24
Business Address
EDEN VINCENT
10473 OLD HAMMOND HWY
BATON ROUGE, LA 70816-8264
Phone number: 225-900-8930
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Mailing Address
EDEN VINCENT
10473 OLD HAMMOND HWY
BATON ROUGE, LA 70816-8264
Phone number: 225-900-8930
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