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Individual

DOMINIQUE GRIMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
409 CORTEZ ST, LA PLACE, LA 70068-2961
(985) 210-6710
(504) 558-4937
Mailing address
409 CORTEZ ST, LA PLACE, LA 70068-2961
(985) 210-6710
(504) 558-4937

Taxonomy

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

Other

Enumeration date
09/08/2017
Last updated
07/21/2022
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