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Individual

DORIAN L GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BACHELORS

Contact information

Practice address
12097 OLD HAMMOND HIGHWAY, STE I-1, BATON ROUGE, LA 70816
(225) 421-1881
(225) 421-1882
Mailing address
12097 OLD HAMMOND HIGHWAY, STE I-1, BATON ROUGE, LA 70815
(225) 421-1881

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/04/2017
Last updated
08/04/2017
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