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1972047033
RAVEN DANIELLE HARPER
BASTROP, LA
NPI
1972047033
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-12-08
Last Update Date
2016-12-08
Business Address
-- RAVEN DANIELLE HARPER
9414 PRIDGEON ST
BASTROP, LA 71220-5971
Phone number: 318-805-4491
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Mailing Address
-- RAVEN DANIELLE HARPER
9414 PRIDGEON ST
BASTROP, LA 71220-5971
Phone number: 318-805-4491
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