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1851312581
TOM WILLIAM BURNETT
MONROE, LA
NPI
1851312581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 791)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
Mr. TOM WILLIAM BURNETT LAC
4781 S GRAND ST
MONROE, LA 71202-6403
Phone number: 318-362-5430
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Mailing Address
Mr. TOM WILLIAM BURNETT LAC
4781 S GRAND ST
MONROE, LA 71202-6403
Phone number: 318-362-5430
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