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Individual

DERIAN ANTHONY DECOUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2200 VETERANS MEMORIAL BLVD, KENNER, LA 70062-4001
(504) 305-4709
Mailing address
5909 SAINT ROCH AVE, NEW ORLEANS, LA 70122-5433

Taxonomy

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

Other

Enumeration date
06/14/2018
Last updated
06/14/2018
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