RUSTY LANE PHILLIPS

LAFAYETTE, LA
NPI1639360126
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: LA  7285)
Enumeration Date2007-08-08
Last Update Date2020-04-28
Business Address
RUSTY LANE PHILLIPS LCSW
206 RUE GAMBETTA
LAFAYETTE, LA 70507-5335
Phone number: 337-592-0185
Mailing Address
RUSTY LANE PHILLIPS LCSW
206 RUE GAMBETTA
LAFAYETTE, LA 70507-5335
Phone number: 337-592-0185
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