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1962980755
KIERRA DOMINGUE
BATON ROUGE, LA
NPI
1962980755
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-08-02
Last Update Date
2024-01-12
Business Address
KIERRA DOMINGUE
219 N 25TH ST
BATON ROUGE, LA 70806-3654
Phone number: 225-361-6637
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Mailing Address
KIERRA DOMINGUE
219 N 25TH ST
BATON ROUGE, LA 70806-3654
Phone number: 225-361-6637
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