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1174778716
ROBERT LEE ROBERSON
LAFAYETTE, LA
NPI
1174778716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 2098)
Enumeration Date
2008-11-24
Last Update Date
2008-11-24
Business Address
-- ROBERT LEE ROBERSON
105 CHAG ST
LAFAYETTE, LA 70501
Phone number: 337-322-6143
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Mailing Address
-- ROBERT LEE ROBERSON
105 CHAG ST
LAFAYETTE, LA 70501
Phone number: 337-322-6143
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