MARK ANTHONY AUGUSTINE

MARKSVILLE, LA
NPI1346088747
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: LA  800727633)
Enumeration Date2024-07-18
Last Update Date2024-07-18
Business Address
MARK ANTHONY AUGUSTINE
645 RICHELIEU PKWY
MARKSVILLE, LA 71351-2756
Phone number: 318-308-0970
Mailing Address
MARK ANTHONY AUGUSTINE
645 RICHELIEU PKWY
MARKSVILLE, LA 71351-2756
Phone number: 318-308-0970