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1952764094
DOMINIQUE YOUNG
SHREVEPORT, LA
NPI
1952764094
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-04-05
Last Update Date
2016-04-05
Business Address
-- DOMINIQUE YOUNG MHP
3511 YOUREE DR
SHREVEPORT, LA 71105-2119
Phone number: 318-861-8938
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Mailing Address
-- DOMINIQUE YOUNG MHP
8100 PINES RD APT 18F
SHREVEPORT, LA 71129-4453
Phone number: 318-759-9350
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