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1386171502
CRYSTAL BRISON
LAFAYETTE, LA
NPI
1386171502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-05-18
Last Update Date
2018-06-06
Business Address
CRYSTAL BRISON
1010 AUBURN AVE
LAFAYETTE, LA 70503
Phone number: 337-232-9457
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Mailing Address
CRYSTAL BRISON
1010 AUBURN AVE
LAFAYETTE, LA 70503-2308
Phone number:
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