Individual
IMANI DECUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAS
Contact information
Practice address
14088 W CLUB DELUXE RD, HAMMOND, LA 70403-1000
(985) 542-0077
Mailing address
14088 W CLUB DELUXE RD, HAMMOND, LA 70403-1000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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