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Wayne Domalaon
NPI 1275905325 · on the registry since 2015 · sole proprietor
Practice
- Address
- 9000 W Wilderness Way Apt 32
Shreveport, LA 71106 - Phone
- (318) 675-9101
- Organisation at this address
- Darla E Obrien
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Mental Health Counselor
101YM0800X
- Sex
- Male
- Record last updated
- 2015-10-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana