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1316461395
CRYSTAL MC BRIDE
METAIRIE, LA
NPI
1316461395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-08-01
Last Update Date
2022-07-21
Business Address
CRYSTAL MC BRIDE
3100 RIDGELAKE DR. SUITE 309
METAIRIE, LA 70002
Phone number: 504-309-0259
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Mailing Address
CRYSTAL MC BRIDE
3100 RIDGELAKE DR STE 309
METAIRIE, LA 70002-4938
Phone number: 504-309-0259
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