LATOYA JACK

LAKE CHARLES, LA
NPI1417485855
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-05-30
Last Update Date2022-07-21
Business Address
LATOYA JACK
4396 GORDON WOODS DR
LAKE CHARLES, LA 70615-2997
Phone number: 337-215-0576
Mailing Address
LATOYA JACK
4396 GORDON WOODS DR
LAKE CHARLES, LA 70615-2997
Phone number: 337-215-0576
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