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1881109114
DOMINIQUE MAYFIELD
MONROE, LA
NPI
1881109114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2017-12-08
Last Update Date
2019-04-04
Business Address
DOMINIQUE MAYFIELD
500 N 21ST ST
MONROE, LA 71201-6532
Phone number: 318-450-4911
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Mailing Address
DOMINIQUE MAYFIELD
500 N 21ST ST
MONROE, LA 71201-6532
Phone number: 318-450-4911
Copy
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