MISTY DOMINIQUE

BATON ROUGE, LA
NPI1366248916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies175T00000X Peer Specialist
Enumeration Date2025-02-24
Last Update Date2025-03-06
Business Address
MISTY DOMINIQUE
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number: 985-503-4209
Mailing Address
MISTY DOMINIQUE
8326 KELWOOD AVE
BATON ROUGE, LA 70806-4803
Phone number:
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