DOMONIQUE DICKERSON

HOUMA, LA
NPI1881166007
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-12-28
Last Update Date2020-04-03
Business Address
DOMONIQUE DICKERSON
1340 W TUNNEL BLVD STE 230
HOUMA, LA 70360-2811
Phone number: 985-293-7322
Mailing Address
DOMONIQUE DICKERSON
1418 TIGER DR
THIBODAUX, LA 70301-4337
Phone number: 985-449-4055
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