LARRY D. PROCTOR

RUSTON, LA
NPI1386181915
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-01-20
Last Update Date2017-01-20
Business Address
Dr. LARRY D. PROCTOR
978 BARNETT SPRINGS ST.
RUSTON, LA 71270
Phone number: 318-436-1862
Mailing Address
Dr. LARRY D. PROCTOR
978 S BARNETT SPRINGS ST
RUSTON, LA 71270-9015
Phone number: 318-436-1862