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Organization
THE REFUGE 18-2 LLC
Active
Organization
THE REFUGE 18-2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DUGAS (DIRECTOR)
(318) 548-4018
Entity
Organization
Contact information
Practice address
3525 HESSMER AVE, METAIRIE, LA 70002-6409
(318) 548-4018
Mailing address
49 CARSON CT, SANTA ROSA BEACH, FL 32459-2633
(318) 548-4018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4457
LA
261Q00000X
Clinic/Center
4457
LA
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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