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1578193611
LAQUITA ENNIS
BATON ROUGE, LA
NPI
1578193611
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2020-01-16
Last Update Date
2020-01-28
Business Address
LAQUITA ENNIS
3040 TEDDY DR
BATON ROUGE, LA 70809-1925
Phone number: 225-218-4444
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Mailing Address
LAQUITA ENNIS
3040 TEDDY DR
BATON ROUGE, LA 70809-1925
Phone number: 225-218-4444
Copy
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