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1609313253
TY KEY
RUSTON, LA
NPI
1609313253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-01-20
Last Update Date
2017-01-20
Business Address
-- TY KEY
206 E REYNOLDS DR STE F
RUSTON, LA 71270-2873
Phone number: 318-254-7050
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Mailing Address
-- TY KEY
206 E REYNOLDS DRIVE SUITE F
RUSTON, LA 71270
Phone number: 318-254-7050
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