DEMETRIUS BOOSE

MONROE, LA
NPI1568905891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2016-11-17
Last Update Date2016-11-17
Business Address
MR. DEMETRIUS BOOSE
645 HIGHWAY 80 E
MONROE, LA 71203-8527
Phone number: 318-343-8744
Mailing Address
MR. DEMETRIUS BOOSE
645 HIGHWAY 80 E
MONROE, LA 71203-8527
Phone number: 318-343-8744
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