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1225574890
DIJON PHOENIX
ALEXANDRIA, LA
NPI
1225574890
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-01-06
Last Update Date
2017-01-06
Business Address
-- DIJON PHOENIX
710 VERSAILLES BLVD
ALEXANDRIA, LA 71303-2351
Phone number: 318-787-6749
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Mailing Address
-- DIJON PHOENIX
2337 VANCE AVE
ALEXANDRIA, LA 71301-4664
Phone number: 318-787-1133
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