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1518974872
EDWARD LYTLE
PINEVILLE, LA
NPI
1518974872
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 988)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
-- EDWARD LYTLE BCSAC
401 RAINBOW DR UNIT 35
PINEVILLE, LA 71360-6979
Phone number: 318-487-5190
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Mailing Address
-- EDWARD LYTLE BCSAC
303 HOLIDAY CIR
PINEVILLE, LA 71360-5531
Phone number:
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