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1295107985
MELINDA JOHNSON DAVIS
LAFAYETTE, LA
NPI
1295107985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date
2015-10-21
Last Update Date
2019-08-22
Business Address
Mrs. MELINDA JOHNSON DAVIS MAED
700 SAINT LANDRY ST
LAFAYETTE, LA 70506
Phone number: 337-210-5145
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Mailing Address
Mrs. MELINDA JOHNSON DAVIS MAED
700 SAINT LANDRY ST
LAFAYETTE, LA 70506-4630
Phone number: 337-210-5145
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