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1134595523
TIFFANY BATES
RUSTON, LA
NPI
1134595523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 2700)
Enumeration Date
2015-08-19
Last Update Date
2015-08-19
Business Address
Dr. TIFFANY BATES Ph.D.
412 S TRENTON ST
RUSTON, LA 71270-5031
Phone number: 318-232-2797
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Mailing Address
Dr. TIFFANY BATES Ph.D.
1603 BISTINEAU ST
RUSTON, LA 71270-5210
Phone number:
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