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1336681071
JEROME LAVETTE DARBY
SHREVEPORT, LA
NPI
1336681071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: LA 10850)
Enumeration Date
2016-11-11
Last Update Date
2016-11-11
Business Address
-- JEROME LAVETTE DARBY MSW
351 W 79TH ST
SHREVEPORT, LA 71106-4819
Phone number: 318-688-8190
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Mailing Address
-- JEROME LAVETTE DARBY MSW
3324 DANBURY CT
BOSSIER CITY, LA 71112-3100
Phone number: 318-230-1369
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