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1972658748
DOMINIQUE KAY DOUGLAS
HOUMA, LA
NPI
1972658748
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-01-24
Last Update Date
2007-07-08
Business Address
Miss DOMINIQUE KAY DOUGLAS
106 MOSS LN
HOUMA, LA 70360-4080
Phone number: 985-857-3615
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Mailing Address
Miss DOMINIQUE KAY DOUGLAS
106 MOSS LN
HOUMA, LA 70360-4080
Phone number: 985-857-3615
Copy
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