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1326796640
DUSTIN MANNING
FARMERVILLE, LA
NPI
1326796640
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA CIT5315)
Enumeration Date
2022-03-15
Last Update Date
2022-03-15
Business Address
DUSTIN MANNING CIT
201 W BAYOU ST
FARMERVILLE, LA 71241-2707
Phone number: 318-368-3363
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Mailing Address
DUSTIN MANNING CIT
201 W BAYOU ST
FARMERVILLE, LA 71241-2707
Phone number: 318-368-3363
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