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611 Celestine La Tortue Road Branch LA 70516-0292 | |
(337) 334-4838 | |
(337) 334-3889 |
Full Name | |
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Speciality | Counselor |
Location | 611 Celestine La Tortue Road, Branch, Louisiana |
Authorized Official Name and Position | Michael Lavern Wright (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3373344838 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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611 Celestine La Tortue Road Branch LA 70516-0292 Ph: (337) 334-4838 | 611 Celestine La Tortue Road Branch LA 70516-0292 Ph: (337) 334-4838 |
NPI Number | 1881985430 |
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Provider Enumeration Date | 04/29/2011 |
Last Update Date | 04/29/2011 |
Identifier | Type | State | Issuer |
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1881985430 | NPI | - | NPPES |