EBONY COLLINSWORTH

RUSTON, LA
NPI1417316316
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-02-19
Last Update Date2016-02-19
Business Address
-- EBONY COLLINSWORTH
210 LAFAYETTE ST
RUSTON, LA 71270-4736
Phone number: 318-497-0956
Mailing Address
-- EBONY COLLINSWORTH
210 LAFAYETTE ST
RUSTON, LA 71270-4736
Phone number: