ANTONIO EVANS

BASTROP, LA
NPI1245706316
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-10-16
Last Update Date2018-12-07
Business Address
ANTONIO EVANS
406 TISDALE DR
BASTROP, LA 71220-3747
Phone number: 189-974-6000
Mailing Address
ANTONIO EVANS
406 TISDALE DR
BASTROP, LA 71220-3747
Phone number: 189-974-6000
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