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1841515087
JEREMY A LUALLEN
MONROE, LA
NPI
1841515087
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-03-31
Last Update Date
2015-12-21
Business Address
Mr. JEREMY A LUALLEN MSMFT, PLPC
622 RIVERSIDE DR
MONROE, LA 71201-6211
Phone number: 318-398-1760
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Mailing Address
Mr. JEREMY A LUALLEN MSMFT, PLPC
622 RIVERSIDE DR
MONROE, LA 71201-6211
Phone number: 318-398-1760
Copy
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