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Individual

DEONEISHA HORTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15813 SHETLAND AVE, GREENWELL SPRINGS, LA 70739
(314) 570-7763
Mailing address
15813 SHETLAND AVE, GREENWELL SPRINGS, LA 70739

Taxonomy

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

Other

Enumeration date
08/09/2016
Last updated
08/09/2016
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