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1124539218
KEON TORELL JAMES
BATON ROUGE, LA
NPI
1124539218
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-10-17
Last Update Date
2019-11-24
Business Address
KEON TORELL JAMES
1200 S ACADIAN THRUWAY
BATON ROUGE, LA 70806-6900
Phone number: 225-223-6968
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Mailing Address
KEON TORELL JAMES
627 MARTIN LUTHER KING DR
COTTONPORT, LA 71327-3414
Phone number:
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