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1629799283
DAVION D SPIVEY
RUSTON, LA
NPI
1629799283
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2022-09-12
Last Update Date
2022-09-14
Business Address
DAVION D SPIVEY
1404 S VIENNA ST
RUSTON, LA 71270-6428
Phone number: 318-222-4920
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Mailing Address
DAVION D SPIVEY
1404 S VIENNA ST
RUSTON, LA 71270-6428
Phone number: 318-222-4920
Copy
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