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1700312576
STEPHANIE WILSON
BATON ROUGE, LA
NPI
1700312576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 1423)
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
-- STEPHANIE WILSON
5925 GREENWELL SPRINGS RD
BATON ROUGE, LA 70806-1620
Phone number: 225-926-7911
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Mailing Address
-- STEPHANIE WILSON
5925 GREENWELL SPRINGS RD
BATON ROUGE, LA 70806-1620
Phone number: 225-926-7911
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