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1699235770
HENRY NEAL WALLACE
BATON ROUGE, LA
NPI
1699235770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-03-23
Last Update Date
2019-03-23
Business Address
Mr. HENRY NEAL WALLACE CIT
10473 OLD HAMMOND HWY
BATON ROUGE, LA 70816-8264
Phone number: 225-683-4144
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Mailing Address
Mr. HENRY NEAL WALLACE CIT
1184 HARCO DR
BATON ROUGE, LA 70815-2916
Phone number:
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