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1740852649
KEVIN DOUGLAS KNIGHTEN
BATON ROUGE, LA
NPI
1740852649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2021-07-12
Last Update Date
2021-07-12
Business Address
KEVIN DOUGLAS KNIGHTEN
10830 GREENWELL SPRINGS RD
BATON ROUGE, LA 70814-5014
Phone number: 225-444-5125
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Mailing Address
KEVIN DOUGLAS KNIGHTEN
10830 GREENWELL SPRINGS RD
BATON ROUGE, LA 70814-5014
Phone number: 225-444-5125
Copy
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