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Individual

DOMONIQUE PATTERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RSW

Contact information

Practice address
601 HOMER RD, MINDEN, LA 71055-2909
(318) 371-6707
Mailing address
601 HOMER RD, MINDEN, LA 71055-2909

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
LA

Other

Enumeration date
01/18/2019
Last updated
01/18/2019
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