GERALD WASHINGTON

TALLULAH, LA
NPI1366894446
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-07-12
Last Update Date2018-05-29
Business Address
GERALD WASHINGTON
1705 FELICIA AVE
TALLULAH, LA 71282
Phone number: 318-574-1232
Mailing Address
GERALD WASHINGTON
1705 FELICIA AVE
TALLULAH, LA 71282-8203
Phone number: 318-574-1232
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