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1265970552
DOMINIQUE LEE
STERLINGTON, LA
NPI
1265970552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-02-07
Last Update Date
2018-08-16
Business Address
DOMINIQUE LEE
506 HIGHWAY 2
STERLINGTON, LA 71280
Phone number: 318-598-5040
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Mailing Address
DOMINIQUE LEE
506 HIGHWAY 2
STERLINGTON, LA 71280-3004
Phone number: 318-598-5040
Copy
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