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1780113217
STEVEN JACOB DAVIS
MONROE, LA
NPI
1780113217
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-06-08
Last Update Date
2022-07-21
Business Address
STEVEN JACOB DAVIS
1602 ROYAL AVE
MONROE, LA 71201
Phone number: 318-453-7521
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Mailing Address
STEVEN JACOB DAVIS
1602 ROYAL AVE
MONROE, LA 71201-5612
Phone number: 318-453-7521
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