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1588483176
TED ALLAN PRESTRIDGE
RAYVILLE, LA
NPI
1588483176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-10-09
Last Update Date
2024-10-09
Business Address
TED ALLAN PRESTRIDGE
161 COMEAUX RD
RAYVILLE, LA 71269-7554
Phone number: 318-303-5500
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Mailing Address
TED ALLAN PRESTRIDGE
161 COMEAUX RD
RAYVILLE, LA 71269-7554
Phone number: 318-516-0624
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