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1306316062
STEPHEN HEARD
BATON ROUGE, LA
NPI
1306316062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: LA 1481)
Enumeration Date
2018-11-26
Last Update Date
2018-11-26
Business Address
STEPHEN HEARD RAC
150 CORA DR
BATON ROUGE, LA 70815-4201
Phone number: 949-485-0419
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Mailing Address
STEPHEN HEARD RAC
18639 PERKINS RD LOT 23
PRAIRIEVILLE, LA 70769-3277
Phone number: 949-485-0419
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