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1710339288
TIFFANY DOMINGUE
LAFAYETTE, LA
NPI
1710339288
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2016-07-08
Last Update Date
2018-05-09
Business Address
TIFFANY DOMINGUE
116 BERTRAND DR
LAFAYETTE, LA 70506-5632
Phone number: 337-621-8781
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Mailing Address
TIFFANY DOMINGUE
116 BERTRAND DR
LAFAYETTE, LA 70506-5632
Phone number:
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