JUSTIN SLADE SPANN

WINNSBORO, LA
NPI1407639446
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  5056)
Enumeration Date2023-08-15
Last Update Date2023-08-15
Business Address
JUSTIN SLADE SPANN CAC
6564 MAIN ST
WINNSBORO, LA 71295-2701
Phone number: 318-435-7558
Mailing Address
JUSTIN SLADE SPANN CAC
6564 MAIN ST
WINNSBORO, LA 71295-2701
Phone number: 318-435-7558
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