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1942794805
DERIAN ANTHONY DECOUX
KENNER, LA
NPI
1942794805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-06-14
Last Update Date
2018-06-14
Business Address
DERIAN ANTHONY DECOUX
2200 VETERANS MEMORIAL BLVD
KENNER, LA 70062-4001
Phone number: 504-305-4709
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Mailing Address
DERIAN ANTHONY DECOUX
5909 SAINT ROCH AVE
NEW ORLEANS, LA 70122-5433
Phone number:
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