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1063877702
NICOLE DANTZLER
BASTROP, LA
NPI
1063877702
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-23
Last Update Date
2021-10-07
Business Address
NICOLE DANTZLER
209 W JEFFERSON AVE
BASTROP, LA 71220-4543
Phone number: 318-239-3890
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Mailing Address
NICOLE DANTZLER
209 W JEFFERSON AVE
BASTROP, LA 71220-4543
Phone number:
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