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1124493176
MARTIN RICHARD
LAFAYETTE, LA
NPI
1124493176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-02
Last Update Date
2015-12-02
Business Address
-- MARTIN RICHARD
1144 COOLIDGE BLVD SUITE C
LAFAYETTE, LA 70503-2622
Phone number: 337-266-7170
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Mailing Address
-- MARTIN RICHARD
1144 COOLIDGE BLVD SUITE C
LAFAYETTE, LA 70503-2622
Phone number: 337-266-7170
Copy
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