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1790003358
DAVID M. FATHEREE
LAFAYETTE, LA
NPI
1790003358
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA 220)
Enumeration Date
2010-05-06
Last Update Date
2015-11-03
Business Address
Mr. DAVID M. FATHEREE LAC
114 REPRESENTATIVE ROW
LAFAYETTE, LA 70508-3878
Phone number: 337-412-6825
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Mailing Address
Mr. DAVID M. FATHEREE LAC
114 REPRESENTATIVE ROW
LAFAYETTE, LA 70508-3878
Phone number: 337-412-6825
Copy
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