LADETRICK PROVO

BATON ROUGE, LA
NPI1184155731
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2017-03-24
Last Update Date2017-03-24
Business Address
-- LADETRICK PROVO
5476 SUMMER DR
BATON ROUGE, LA 70812-3046
Phone number: 225-333-7899
Mailing Address
-- LADETRICK PROVO
5476 SUMMER DR
BATON ROUGE, LA 70812-3046
Phone number: 225-333-7899
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