MICON GAINES

BAKER, LA
NPI1013363241
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-05-06
Last Update Date2016-05-06
Business Address
Mr. MICON GAINES
4206 N. MORVANT PL.
BAKER, LA 70714
Phone number: 225-367-5310
Mailing Address
Mr. MICON GAINES
4206 N MORVANT PL
BAKER, LA 70714-4722
Phone number:
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