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1245060508
SYLVIA PROVOST
BATON ROUGE, LA
NPI
1245060508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2024-08-02
Last Update Date
2024-08-02
Business Address
SYLVIA PROVOST
3084 WESTFORK DR STE C
BATON ROUGE, LA 70816-2254
Phone number: 225-960-1813
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Mailing Address
SYLVIA PROVOST
3084 WESTFORK DR STE C
BATON, LA 70814
Phone number: 225-960-1813
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