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1326549841
STEVEN JOSEPH MAYBERY
RAYVILLE, LA
NPI
1326549841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 1392)
Enumeration Date
2018-02-21
Last Update Date
2018-02-21
Business Address
STEVEN JOSEPH MAYBERY LAC, NCC
1609 LOUISA ST
RAYVILLE, LA 71269-3244
Phone number: 318-791-7013
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Mailing Address
STEVEN JOSEPH MAYBERY LAC, NCC
1609 LOUISA ST
RAYVILLE, LA 71269-3244
Phone number: 318-791-7013
Copy
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