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1134699747
CRYSTAL LOUP
BATON ROUGE, LA
NPI
1134699747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA PLPC7404)
Enumeration Date
2018-11-27
Last Update Date
2018-11-27
Business Address
CRYSTAL LOUP
150 CORA DR
BATON ROUGE, LA 70815-4201
Phone number: 225-387-1611
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Mailing Address
CRYSTAL LOUP
150 CORA DR
BATON ROUGE, LA 70815-4201
Phone number: 225-387-1611
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