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1063969129
CRYSTAL ELAM
BATON ROUGE, LA
NPI
1063969129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-09-07
Last Update Date
2016-09-07
Business Address
-- CRYSTAL ELAM
711 COLONIAL DR
BATON ROUGE, LA 70806-6549
Phone number: 225-246-2162
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Mailing Address
-- CRYSTAL ELAM
711 COLONIAL DR
BATON ROUGE, LA 70806-6549
Phone number:
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