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DAMIEN DEMOINE PAPILLION

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2683 VIDRINE ROAD, VILLE PLATTE, LA 70586
(337) 363-3703
Mailing address
6846 HIGHWAY 190, CHURCH POINT, LA 70525-6504
(337) 250-5507

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578828851
LA
Enumeration date
02/09/2018
Last updated
02/15/2019
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