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1407249766
RIVERPARK COUNSELING LLC
VIDALIA, LA
NPI
1407249766
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Entity Type
Organization
Authorized Contact
JOHN FAIRBANKS
Owner
318-336-2212
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 12091)
Enumeration Date
2015-03-11
Last Update Date
2015-03-11
Business Address
RIVERPARK COUNSELING LLC
107 FRONT ST STE 2134
VIDALIA, LA 71373-2836
Phone number: 318-336-2212
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Mailing Address
RIVERPARK COUNSELING LLC
107 FRONT ST STE 2134
VIDALIA, LA 71373-2836
Phone number: 318-336-2212
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