Patricia Mae Blaser-baas CAC 1149

NPI 1083968705 - Counselor - 101YA0400X

NPI Details
NPI 1083968705
Gender Female
Enumeration Date 11/02/2012
Last Updated 11/02/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
4800 S GRAND ST
MONROE LA, 71202-6412, US
Phone (318) 362-3339
Fax (318) 362-3336
Business Location
4800 S GRAND ST
MONROE LA, 71202-6412, US
Phone (318) 362-3339
Fax (318) 362-3336
Toxanomy
Taxonomy Code 101YA0400X
License State Louisiana
License Number CAC1149
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According to our database, Mrs. Patricia Mae Blaser-baas CAC 1149 NPI is 1083968705, taxonomy code is 101YA0400X and license number is CAC1149, license state is located at Louisiana. Patricia Mae Blaser-baas CAC 1149 physically located at 4800 S Grand St, Monroe LA, 71202-6412. NPI Number Patricia Mae Blaser-baas CAC 1149 has the Individual type.

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1083968705 NPI number is provided on an as is basis without warranty of any kind. 1083968705 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia Mae Blaser-baas CAC 1149 are for informational purposes only.