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1730790049
TEAGUE RASMUSSEN
BATON ROUGE, LA
NPI
1730790049
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 5070)
Enumeration Date
2020-08-11
Last Update Date
2020-08-11
Business Address
TEAGUE RASMUSSEN
150 CORA DR
BATON ROUGE, LA 70815-4201
Phone number: 225-387-1611
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Mailing Address
TEAGUE RASMUSSEN
150 CORA DR
BATON ROUGE, LA 70815-4201
Phone number: 225-387-1611
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