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Individual

MRS. MYYAHHNNA TRENCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
193 BETTY RUBY DR, GRAY, LA 70359-5308
(985) 713-2417
Mailing address
193 BETTY RUBY DR, GRAY, LA 70359-5308
(985) 713-2417

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
272708617
LA
Enumeration date
01/30/2014
Last updated
08/16/2021
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