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1487012951
DANIELLE MOUTON
SHREVEPORT, LA
NPI
1487012951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-01-29
Last Update Date
2016-01-29
Business Address
-- DANIELLE MOUTON
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104-3600
Phone number: 318-742-3408
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Mailing Address
-- DANIELLE MOUTON
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104-3600
Phone number: 318-742-3408
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