DOMINIQUE IVORY

BATON ROUGE, LA
NPI1144982893
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2021-10-11
Last Update Date2021-10-11
Business Address
DOMINIQUE IVORY
11861 COURSEY BLVD
BATON ROUGE, LA 70816-4404
Phone number: 225-612-8656
Mailing Address
DOMINIQUE IVORY
11861 COURSEY BLVD
BATON ROUGE, LA 70816-4404
Phone number: 225-612-8656
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