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1134584162
DEDRIC WEST
NEW ORLEANS, LA
NPI
1134584162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 3400)
Enumeration Date
2015-12-17
Last Update Date
2015-12-17
Business Address
Mr. DEDRIC WEST CIT
411 S BROAD ST
NEW ORLEANS, LA 70119-7410
Phone number: 504-827-2928
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Mailing Address
Mr. DEDRIC WEST CIT
411 S BROAD ST
NEW ORLEANS, LA 70119-7410
Phone number: 504-827-2928
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