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1356706667
EBONY LATHAN
BATON ROUGE, LA
NPI
1356706667
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-31
Last Update Date
2018-07-20
Business Address
EBONY LATHAN
12097 OLD HAMMOND HWY
BATON ROUGE, LA 70816
Phone number: 225-246-8816
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Mailing Address
EBONY LATHAN
12097 OLD HAMMOND HWY
BATON ROUGE, LA 70816-8679
Phone number: 225-246-8816
Copy
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