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1740990670
DEAUNDRA THOMAS DAVIS
BREAUX BRIDGE, LA
NPI
1740990670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 5044)
Enumeration Date
2022-12-01
Last Update Date
2022-12-01
Business Address
Mrs. DEAUNDRA THOMAS DAVIS RAC
648 LATIOLAIS DR
BREAUX BRIDGE, LA 70517-4231
Phone number: 337-332-4878
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Mailing Address
Mrs. DEAUNDRA THOMAS DAVIS RAC
296 RICHARD ST
SUNSET, LA 70584-5123
Phone number: 337-678-9669
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