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1497269724
DEMETRIUS JANUARY
ALEXANDRIA, LA
NPI
1497269724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-11-22
Last Update Date
2017-11-22
Business Address
DEMETRIUS JANUARY
3921 INDEPENDENCE DR STE 104
ALEXANDRIA, LA 71303-3566
Phone number: 318-542-4288
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Mailing Address
DEMETRIUS JANUARY
3921 INDEPENDENCE DR STE 104
ALEXANDRIA, LA 71303-3566
Phone number:
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