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1891215919
DESTINEE CHARLES
BATON ROUGE, LA
NPI
1891215919
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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
2017-06-20
Last Update Date
2019-11-11
Business Address
DESTINEE CHARLES
1200 S ACADIAN THRUWAY
BATON ROUGE, LA 70806-6900
Phone number: 225-223-6968
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Mailing Address
DESTINEE CHARLES
1379 N FOSTER DR
BATON ROUGE, LA 70806-1816
Phone number: 225-636-0806
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