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1366288532
THOMAS SHEA
BATON ROUGE, LA
NPI
1366288532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 5552)
Enumeration Date
2024-07-06
Last Update Date
2024-07-06
Business Address
THOMAS SHEA CIT
5311 DIJON DR
BATON ROUGE, LA 70808-4314
Phone number: 225-300-4850
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Mailing Address
THOMAS SHEA CIT
10502 N MYRTLELAKE AVE
BATON ROUGE, LA 70810-6638
Phone number: 808-222-9445
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