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1972618163
KEITH WALKER
PINEVILLE, LA
NPI
1972618163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: LA 1769)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
MR. KEITH WALKER C.I.T.
UNIT 6 MEADOW LANE
PINEVILLE, LA 71360
Phone number: 318-484-6889
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Mailing Address
MR. KEITH WALKER C.I.T.
1717 TULLAMORE ST
ALEXANDRIA, LA 71303-5257
Phone number: 318-449-4538
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