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1972041200
CRYSTAL MATTHEWS
RUSTON, LA
NPI
1972041200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-02-07
Last Update Date
2017-02-07
Business Address
-- CRYSTAL MATTHEWS MS
775 S BONNER ST
RUSTON, LA 71270-5801
Phone number: 318-254-7050
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Mailing Address
-- CRYSTAL MATTHEWS MS
775 S BONNER ST
RUSTON, LA 71270-5801
Phone number: 318-254-7050
Copy
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