Ladetrick Provo
Ladetrick Provo is a Counselor in Baton Rouge, Louisiana. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
5476 Summer DrBaton Rouge, LA 70812-3046
Phone: (225) 333-7899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1184155731 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 24, 2017 |
| Last updated in NPPES | March 24, 2017 |
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