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1790257269
WILLIAM R RICHARD
LAFAYETTE, LA
NPI
1790257269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 324)
Enumeration Date
2018-12-21
Last Update Date
2018-12-21
Business Address
WILLIAM R RICHARD
2020 W PINHOOK RD STE 504
LAFAYETTE, LA 70508-3212
Phone number: 337-214-2100
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Mailing Address
WILLIAM R RICHARD
2020 W PINHOOK RD STE 504
LAFAYETTE, LA 70508-3212
Phone number: 337-214-2100
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