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1902250962
RYAN DALE PHILLIPS
BATON ROUGE, LA
NPI
1902250962
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 5379)
Enumeration Date
2016-04-15
Last Update Date
2016-04-15
Business Address
Mr. RYAN DALE PHILLIPS LPC
12250 GREENWELL SPRINGS RD
BATON ROUGE, LA 70814-6335
Phone number: 225-278-6178
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Mailing Address
Mr. RYAN DALE PHILLIPS LPC
15273A MILLDALE RD
ZACHARY, LA 70791-8013
Phone number: 225-278-6178
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