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1164887113
SANAE DOMINIQUE
SHREVEPORT, LA
NPI
1164887113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-17
Last Update Date
2015-12-19
Business Address
-- SANAE DOMINIQUE
7505 PINES RD
SHREVEPORT, LA 71129-3935
Phone number: 318-562-3707
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Mailing Address
-- SANAE DOMINIQUE
7505 PINES RD
SHREVEPORT, LA 71129-3935
Phone number: 318-562-3707
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