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1205137064
QUINTIN L GUSTIN
BATON ROUGE, LA
NPI
1205137064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 4690)
Enumeration Date
2010-11-10
Last Update Date
2010-11-10
Business Address
-- QUINTIN L GUSTIN LPC
4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806-5820
Phone number: 225-925-1906
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Mailing Address
-- QUINTIN L GUSTIN LPC
4615 GOVERNMENT ST BUILDING 2
BATON ROUGE, LA 70806-5820
Phone number: 225-925-1906
Copy
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