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1386150373
TERRANCE TYRELL DAVIS
BATON ROUGE, LA
NPI
1386150373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-12-28
Last Update Date
2022-07-21
Business Address
TERRANCE TYRELL DAVIS MHP
4348 JEFFREY DR.
BATON ROUGE, LA 70816
Phone number: 225-361-0219
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Mailing Address
TERRANCE TYRELL DAVIS MHP
4348 S JEFFREY DR
BATON ROUGE, LA 70816-4196
Phone number: 225-361-0219
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