FREDRICK DOUGLAS ABRAHAM

LAKE CHARLES, LA
NPI1104339589
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-11-08
Last Update Date2017-11-08
Business Address
FREDRICK DOUGLAS ABRAHAM
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586
Mailing Address
FREDRICK DOUGLAS ABRAHAM
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586