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LADETRICK PROVO
Counselor
NPI: 1184155731Individual
Specialties, Licenses & Credentials
CounselorPrimary
Counselor
Code: 101Y00000X
Contact & Hours
- Address
- 5476 SUMMER DR
BATON ROUGE, LA 70812 - Phone
- (225) 333-7899
Quick Facts
- NPI
- 1184155731
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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