Individual
DEZMOND I SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2404 FERRAND ST, STE. 23, MONROE, LA 71201-3234
(318) 323-0463
(318) 323-0465
Mailing address
2404 FERRAND ST, STE. 23, MONROE, LA 71201-3234
(318) 323-0463
(318) 323-0465
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/06/2016
Last updated
10/26/2016
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