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1174088660
CORY WOODSON
BATON ROUGE, LA
NPI
1174088660
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 1632)
Enumeration Date
2019-02-08
Last Update Date
2019-02-08
Business Address
CORY WOODSON RAC
13675 COURSEY BLVD APT 231
BATON ROUGE, LA 70817-1347
Phone number: 318-664-6395
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Mailing Address
CORY WOODSON RAC
13675 COURSEY BLVD APT 231
BATON ROUGE, LA 70817-1347
Phone number: 318-664-6395
Copy
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