Most Relevant Information
Provider Data
| NPI Number: | 1003311507 |
| Provider Name: | DOMINIC MORGAN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/27/2018 |
| Last Updated: | 03/27/2018 |
Provider Practice Location
303 VETERANS BLVD
DENHAM SPRINGS
LA
707264723
Practice Location Phone/Fax
| Phone: | 2253692363 |
| Fax: |
Provider Mailing Location
3755 EDGEMONT DR
BATON ROUGE
LA
708144828
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |