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1093167751
DEZMOND I SPIVEY
MONROE, LA
NPI
1093167751
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-07-06
Last Update Date
2016-10-26
Business Address
-- DEZMOND I SPIVEY
2404 FERRAND ST STE. 23
MONROE, LA 71201-3234
Phone number: 318-323-0463
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Mailing Address
-- DEZMOND I SPIVEY
2404 FERRAND ST STE. 23
MONROE, LA 71201-3234
Phone number: 318-323-0463
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