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1417316316
EBONY COLLINSWORTH
RUSTON, LA
NPI
1417316316
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-02-19
Last Update Date
2016-02-19
Business Address
-- EBONY COLLINSWORTH
210 LAFAYETTE ST
RUSTON, LA 71270-4736
Phone number: 318-497-0956
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Mailing Address
-- EBONY COLLINSWORTH
210 LAFAYETTE ST
RUSTON, LA 71270-4736
Phone number:
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