EDDIE FOUNTAIN

TALLULAH, LA
NPI1295182889
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-05-24
Last Update Date2016-05-24
Business Address
-- EDDIE FOUNTAIN
1705 FELICIA AVE
TALLULAH, LA 71282-8203
Phone number: 318-574-1232
Mailing Address
-- EDDIE FOUNTAIN
1705 FELICIA AVE
TALLULAH, LA 71282-8203
Phone number: 318-574-1232
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