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1336749233
JOHN DICK
FARMERVILLE, LA
NPI
1336749233
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA CIT-5196)
Enumeration Date
2020-10-29
Last Update Date
2020-10-29
Business Address
JOHN DICK CIT
201 W BAYOU ST
FARMERVILLE, LA 71241-2707
Phone number: 318-243-3934
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Mailing Address
JOHN DICK CIT
451 HENRY SMITH RD
BERNICE, LA 71222-5523
Phone number: 318-243-3934
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