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1063687036
CRYSTAL LEA CORBIN
BOSSIER CITY, LA
NPI
1063687036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: LA #3452)
Enumeration Date
2008-04-29
Last Update Date
2008-04-29
Business Address
-- CRYSTAL LEA CORBIN LPC #3452
2285 BENTON RD SUITE D-201, OFFICE 1
BOSSIER CITY, LA 71111-7933
Phone number: 318-747-4070
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Mailing Address
-- CRYSTAL LEA CORBIN LPC #3452
PO BOX 1496
BENTON, LA 71006-1496
Phone number: 318-747-4070
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