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1275045452
DAMEON DECAVEN PERRY
SHREVEPORT, LA
NPI
1275045452
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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
2017-10-28
Last Update Date
2018-06-15
Business Address
DAMEON DECAVEN PERRY
106 E KINGS HWY STE 101
SHREVEPORT, LA 71104
Phone number: 318-606-5335
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Mailing Address
DAMEON DECAVEN PERRY
2810 FREDDIE ST
SHREVEPORT, LA 71107-4216
Phone number: 318-606-5335
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