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1194220616
DAYTON ALEXANDER
HAMMOND, LA
NPI
1194220616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2018-03-27
Last Update Date
2018-07-09
Business Address
DAYTON ALEXANDER
1008 VENICE AVE
HAMMOND, LA 70403
Phone number: 985-662-3799
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Mailing Address
DAYTON ALEXANDER
1008 VENICE AVE
HAMMOND, LA 70403-5454
Phone number: 985-662-3799
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