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Individual

MS. RAVILIA HAYES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1810 CARTER ST, VIDALIA, LA 71373
(318) 336-4797
Mailing address
1810 CARTER ST, VIDALIA, LA 71373-3115
(318) 336-4797

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
05/29/2018
Last updated
08/09/2018
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