Provider Information for 1124534003
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Ms. ANN LOUISE BEVAN LCSW
Sex: Female
NPI: 1124534003
Last Updated: 2017-12-14
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1124534003 | ||||||||
| Enumeration Date | 2017-12-14 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1900 S ACADIAN THRUWAY BATON ROUGE, LA 70808-1665 United States Phone: 225-336-8700 | Fax: | ||||||||
| Primary Practice Address | 1900 S ACADIAN THRUWAY BATON ROUGE, LA 70808-1665 United States Phone: 225-336-8700 | Fax: | ||||||||
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