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1134963002
CAROLYN A HANNIBAL
BASTROP, LA
NPI
1134963002
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-06-24
Last Update Date
2024-06-24
Business Address
Ms. CAROLYN A HANNIBAL none license
343 N WASHINGTON ST
BASTROP, LA 71220-3849
Phone number: 318-974-5075
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Mailing Address
Ms. CAROLYN A HANNIBAL none license
343 N WASHINGTON ST
BASTROP, LA 71220-3849
Phone number: 318-512-7646
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