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1992467641
SOUTHERN PSYCHIATRIC SERVICES LLC
IOWA, LA
NPI
1992467641
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Entity Type
Organization
Authorized Contact
BRENNAN BERGERON
Owner
337-480-7800
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2021-10-11
Last Update Date
2022-10-20
Business Address
SOUTHERN PSYCHIATRIC SERVICES LLC
7490 BUCKSKIN DR
IOWA, LA 70647-4429
Phone number: 337-540-7436
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Mailing Address
SOUTHERN PSYCHIATRIC SERVICES LLC
2829 4TH AVE STE 150
LAKE CHARLES, LA 70601-7897
Phone number:
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