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1285716704
ROGER D BENNETT
ALEXANDRIA, LA
NPI
1285716704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: LA 635)
Enumeration Date
2006-10-20
Last Update Date
2007-07-08
Business Address
MR. ROGER D BENNETT L.A.C.
2495 SHREVEPORT HWY
ALEXANDRIA, LA 71306-9004
Phone number: 318-473-0010
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Mailing Address
MR. ROGER D BENNETT L.A.C.
PO BOX 69004
ALEXANDRIA, LA 71306-9004
Phone number: 318-473-0010
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