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1356887558
DEJANEIRO DAVIS
MONROE, LA
NPI
1356887558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-01-11
Last Update Date
2017-01-11
Business Address
-- DEJANEIRO DAVIS
1401 HUDSON LN SUITE 202
MONROE, LA 71201-6068
Phone number: 318-323-1300
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Mailing Address
-- DEJANEIRO DAVIS
1912 N 7TH ST APT 1
WEST MONROE, LA 71291-4118
Phone number: 318-348-8848
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