TRAVIS THIERRY

OPELOUSAS, LA
NPI1124551056
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-04-07
Last Update Date2017-04-07
Business Address
-- TRAVIS THIERRY
1502 TEXAS EASTERN RD OPELOUSAS
OPELOUSAS, LA 70570-0892
Phone number: 337-948-0018
Mailing Address
-- TRAVIS THIERRY
1502 TEXAS EASTERN RD
OPELOUSAS, LA 70570
Phone number: 337-948-0018
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