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Individual

JOYY JERMAINE JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
252 HECTOR AVE STE A, GRETNA, LA 70056-2548
(504) 502-0606
Mailing address
1609 LORETTA ST, DONALDSONVILLE, LA 70346-4167
(225) 717-2582

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
822459201
LA
Enumeration date
04/08/2019
Last updated
04/08/2019
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