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1659746741
DAPHNE THIBEAUX
SHREVEPORT, LA
NPI
1659746741
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-12-01
Last Update Date
2015-12-01
Business Address
-- DAPHNE THIBEAUX
1513 LINE AVE SUITE230
SHREVEPORT, LA 71101-4621
Phone number: 318-670-8858
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Mailing Address
-- DAPHNE THIBEAUX
1513 LINE AVE SUITE230
SHREVEPORT, LA 71101-4621
Phone number: 318-670-8858
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