ERIC VINCESON CLARK

SHREVEPORT, LA
NPI1053786194
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  008573370)
Enumeration Date2015-12-01
Last Update Date2018-07-20
Business Address
Mr. ERIC VINCESON CLARK MHS
404 HEARNE AVE
SHREVEPORT, LA 71103
Phone number: 318-716-1369
Mailing Address
Mr. ERIC VINCESON CLARK MHS
404 HEARNE AVE
SHREVEPORT, LA 71103-2022
Phone number: 318-716-1369
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