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1285004275
RAVEN VANGOSSEN
PINEVILLE, LA
NPI
1285004275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2015-10-02
Last Update Date
2015-10-02
Business Address
RAVEN VANGOSSEN
1609 DONAHUE FERRY RD
PINEVILLE, LA 71360-5149
Phone number: 318-703-9185
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Mailing Address
RAVEN VANGOSSEN
1609 DONAHUE FERRY RD
PINEVILLE, LA 71360-5149
Phone number:
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