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1518315654
ESQUITA SHACK
BATON ROUGE, LA
NPI
1518315654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-05-31
Last Update Date
2019-04-03
Business Address
ESQUITA SHACK
9441 COMMON ST STE B
BATON ROUGE, LA 70809-1463
Phone number: 225-923-3733
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Mailing Address
ESQUITA SHACK
13720 BROOKVIEW AVE
BATON ROUGE, LA 70815
Phone number: 225-938-9326
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