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1265930465
DONOVAN THIERRY
GONZALES, LA
NPI
1265930465
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-01-23
Last Update Date
2018-01-23
Business Address
DONOVAN THIERRY
1724 N BURNSIDE AVE STE 7
GONZALES, LA 70737-2157
Phone number: 225-644-8565
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Mailing Address
DONOVAN THIERRY
1724 N BURNSIDE AVE STE 7
GONZALES, LA 70737-2157
Phone number: 225-644-8565
Copy
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