Individual
JANAE DOMINO WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6681 SULLIVAN RD, GREENWELL SPRINGS, LA 70739-3112
(225) 261-7143
Mailing address
2559 FARRAR ST, BATON ROUGE, LA 70805-3953
(225) 278-3757
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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