DEMETRIUS JANUARY

ALEXANDRIA, LA
NPI1497269724
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-11-22
Last Update Date2017-11-22
Business Address
DEMETRIUS JANUARY
3921 INDEPENDENCE DR STE 104
ALEXANDRIA, LA 71303-3566
Phone number: 318-542-4288
Mailing Address
DEMETRIUS JANUARY
3921 INDEPENDENCE DR STE 104
ALEXANDRIA, LA 71303-3566
Phone number:
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