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1992281646
CRYSTAL WYETH
BATON ROUGE, LA
NPI
1992281646
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-07-16
Last Update Date
2018-07-16
Business Address
CRYSTAL WYETH
10473 OLD HAMMOND HWY
BATON ROUGE, LA 70816-8264
Phone number: 225-924-1910
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Mailing Address
CRYSTAL WYETH
10473 OLD HAMMOND HWY
BATON ROUGE, LA 70816-8264
Phone number:
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