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Individual

GENITA DAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2274 WOODDALE BLVD, BATON ROUGE, LA 70806-1444
(225) 928-1088
(225) 932-9488
Mailing address
2274 WOODDALE BLVD, BATON ROUGE, LA 70806-1444
(225) 928-1088
(225) 932-9488

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3051
LA

Other

Enumeration date
11/05/2015
Last updated
11/05/2015
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