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1811400831
ALFRED DOUGLAS
BATON ROUGE, LA
NPI
1811400831
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-11-13
Last Update Date
2018-07-26
Business Address
ALFRED DOUGLAS
3040 TEDDY DR
BATON ROUGE, LA 70809
Phone number: 225-218-4444
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Mailing Address
ALFRED DOUGLAS
3040 TEDDY DR
BATON ROUGE, LA 70809-1925
Phone number:
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