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1407380934
MICHAEL DISALVO
THIBODAUX, LA
NPI
1407380934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 5865)
Enumeration Date
2017-04-11
Last Update Date
2017-04-11
Business Address
-- MICHAEL DISALVO LPC
142 RUE MARGUERITE APT A
THIBODAUX, LA 70301-6746
Phone number: 985-625-0023
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Mailing Address
-- MICHAEL DISALVO LPC
5342 W MAIN ST
HOUMA, LA 70360-1254
Phone number: 985-804-1107
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