Individual
DOMINIQUE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 AUBURN AVE, LAFAYETTE, LA 70503-2308
(337) 232-9457
(337) 232-9459
Mailing address
914 SAMUEL THOMAS ST, RAYNE, LA 70578-2017
(337) 849-9400
(337) 232-9459
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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