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1508972100
BENJAMIN F VIRDEN
PINEVILLE, LA
NPI
1508972100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA L.A.C. # 753)
Enumeration Date
2006-08-23
Last Update Date
2010-05-13
Business Address
Mr. BENJAMIN F VIRDEN L.A.C.
401 RAINBOW DR UNIT 35
PINEVILLE, LA 71360-6979
Phone number: 318-487-5191
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Mailing Address
Mr. BENJAMIN F VIRDEN L.A.C.
49 KENDALL LN
BOYCE, LA 71409-9708
Phone number: 318-793-0944
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