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1285090399
PETER PHILLIP FORD
LAFAYETTE, LA
NPI
1285090399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-01-05
Last Update Date
2016-01-05
Business Address
Mr. PETER PHILLIP FORD
913 S COLLEGE RD 105
LAFAYETTE, LA 70503-3060
Phone number: 337-534-8433
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Mailing Address
Mr. PETER PHILLIP FORD
913 S COLLEGE RD 105
LAFAYETTE, LA 70503-3060
Phone number: 337-534-8433
Copy
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