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1083141568
DAVID WADE HARVILLE
TERRYTOWN, LA
NPI
1083141568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 6712)
Enumeration Date
2017-05-16
Last Update Date
2017-05-16
Business Address
DAVID WADE HARVILLE
1799 STUMPF BLVD STE 4
TERRYTOWN, LA 70056-3950
Phone number: 504-367-4234
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Mailing Address
DAVID WADE HARVILLE
1799 STUMPF BLVD STE 4
TERRYTOWN, LA 70056-3950
Phone number: 504-367-4234
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