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1952001588
BRANDYN BAHAM
COVINGTON, LA
NPI
1952001588
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: LA 15444)
Enumeration Date
2023-03-02
Last Update Date
2023-03-14
Business Address
Mr. BRANDYN BAHAM LMSW
60 LOUIS PRIMA DR STE A
COVINGTON, LA 70433-5903
Phone number: 985-327-5427
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Mailing Address
Mr. BRANDYN BAHAM LMSW
23592 BIG BRANCH DR
PONCHATOULA, LA 70454-5587
Phone number: 985-474-5099
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