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1073126025
DENISE DETIVEAUX
RACELAND, LA
NPI
1073126025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2020-08-28
Last Update Date
2020-09-25
Business Address
DENISE DETIVEAUX
157 TWIN OAKS DR
RACELAND, LA 70394-2761
Phone number: 985-209-5070
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Mailing Address
DENISE DETIVEAUX
157 TWIN OAKS DR
RACELAND, LA 70394-2761
Phone number: 985-209-5070
Copy
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