Provider Information for 1548903172
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Mrs. VANESSA RUBIN LPC
Sex: Female
NPI: 1548903172
Last Updated: 2022-04-20
Certification Date: 2022-04-20
Certification Date: 2022-04-20
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1548903172 | ||||||||
| Enumeration Date | 2022-04-20 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6013 DEERFIELD DR ALEXANDRIA, LA 71301-2230 United States Phone: 318-794-3986 | Fax: | ||||||||
| Primary Practice Address | 6013 DEERFIELD DR ALEXANDRIA, LA 71301-2230 United States Phone: 318-794-3986 | Fax: | ||||||||
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