WAYNE DOMALAON

SHREVEPORT, LA
NPI1275905325
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-10-28
Last Update Date2015-10-28
Business Address
-- WAYNE DOMALAON
9000 W WILDERNESS WAY APT 32
SHREVEPORT, LA 71106-6832
Phone number: 318-675-9101
Mailing Address
-- WAYNE DOMALAON
9000 W WILDERNESS WAY APT 32
SHREVEPORT, LA 71106-6832
Phone number: 318-675-9101
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