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1093189458
DWAYNE JACOBS
LAFAYETTE, LA
NPI
1093189458
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2015-11-23
Last Update Date
2022-07-21
Business Address
DWAYNE JACOBS LPC, 6090
241 1/2 LA RUE FRANCE
LAFAYETTE, LA 70508-3103
Phone number: 337-324-1902
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Mailing Address
DWAYNE JACOBS LPC, 6090
241 1/2 LA RUE FRANCE
LAFAYETTE, LA 70508-3103
Phone number: 337-324-1902
Copy
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