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1164204327
LA'TAVIA TINIA VALLERY
BATON ROUGE, LA
NPI
1164204327
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA CIT-5719)
Enumeration Date
2023-10-20
Last Update Date
2023-10-20
Business Address
LA'TAVIA TINIA VALLERY
10473 OLD HAMMOND HWY
BATON ROUGE, LA 70816-8264
Phone number: 225-924-1910
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Mailing Address
LA'TAVIA TINIA VALLERY
804 5TH ST
GUEYDAN, LA 70542-3206
Phone number: 337-275-0610
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