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1255340832
MICHAEL DAN GAINES
BAKER, LA
NPI
1255340832
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 1656)
Additional Taxonomies
251S00000X
Enumeration Date
2006-08-05
Last Update Date
2017-08-28
Business Address
Mr. MICHAEL DAN GAINES MSW, LCSW, BCD
2944 RAY WEILAND DR
BAKER, LA 70714-3250
Phone number: 225-636-2638
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Mailing Address
Mr. MICHAEL DAN GAINES MSW, LCSW, BCD
PO BOX 157
BAKER, LA 70704-0157
Phone number: 225-636-2638
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