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1568638260
GINO JOSEPH BERTUCCI
BATON ROUGE, LA
NPI
1568638260
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 4092)
Enumeration Date
2008-05-02
Last Update Date
2008-05-02
Business Address
-- GINO JOSEPH BERTUCCI LCSW
7336 HIGHLAND RD
BATON ROUGE, LA 70808
Phone number: 225-938-9971
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Mailing Address
-- GINO JOSEPH BERTUCCI LCSW
32875 KIRBYWOOD DR
WALKER, LA 70785
Phone number: 225-938-9971
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