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1083486104
WENDY STAFFORD PATE
BATON ROUGE, LA
NPI
1083486104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA CIT5663)
Enumeration Date
2023-10-23
Last Update Date
2023-10-23
Business Address
WENDY STAFFORD PATE
10473 OLD HAMMOND HWY
BATON ROUGE, LA 70816-8264
Phone number: 225-900-8933
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Mailing Address
WENDY STAFFORD PATE
10473 OLD HAMMOND HWY
BATON ROUGE, LA 70816-8264
Phone number: 225-900-8933
Copy
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