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1891165619
ANGELICA STATEN
BASTROP, LA
NPI
1891165619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: LA 17318)
Enumeration Date
2015-10-06
Last Update Date
2023-02-03
Business Address
ANGELICA STATEN MS
617 E MADISON AVE
BASTROP, LA 71220-3833
Phone number: 318-239-3890
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Mailing Address
ANGELICA STATEN MS
617 E MADISON AVE
BASTROP, LA 71220-3833
Phone number: 318-239-3890
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