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1962904516
ALEXIS VICTORIA AMBEAU
BATON ROUGE, LA
NPI
1962904516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-02-28
Last Update Date
2018-02-28
Business Address
ALEXIS VICTORIA AMBEAU NCC
2320 DRUSILLA LN STE E
BATON ROUGE, LA 70809-1495
Phone number: 225-930-4530
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Mailing Address
ALEXIS VICTORIA AMBEAU NCC
8533 GRAND VIEW DR
BATON ROUGE, LA 70809-5201
Phone number:
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