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1134586753
CLEO CARROLL
BATON ROUGE, LA
NPI
1134586753
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-01-27
Last Update Date
2019-05-14
Business Address
Mr. CLEO CARROLL
2965 ELGIN ST
BATON ROUGE, LA 70805-7310
Phone number: 225-270-8828
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Mailing Address
Mr. CLEO CARROLL
2965 ELGIN ST
BATON ROUGE, LA 70805-7310
Phone number: 225-270-8828
Copy
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