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1518488998
LEVI DEJOHNETTE
BASTROP, LA
NPI
1518488998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-06
Last Update Date
2017-07-06
Business Address
LEVI DEJOHNETTE
209 W JEFFERSON AVE
BASTROP, LA 71220-4543
Phone number: 318-239-3890
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Mailing Address
LEVI DEJOHNETTE
209 W JEFFERSON AVE
BASTROP, LA 71220-4543
Phone number:
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