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1871097915
DEIONTRE CHARLES
OPELOUSAS, LA
NPI
1871097915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-03-22
Last Update Date
2018-03-22
Business Address
DEIONTRE CHARLES
1310 S UNION ST STE 2
OPELOUSAS, LA 70570-5612
Phone number: 337-942-9292
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Mailing Address
DEIONTRE CHARLES
1310 S UNION ST STE 2
OPELOUSAS, LA 70570-5612
Phone number: 337-942-9292
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