COREY JACK

SUNSET, LA
NPI1447703285
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-07-28
Last Update Date2016-07-28
Business Address
-- COREY JACK
311 MACARTHUR DR
SUNSET, LA 70584-6212
Phone number: 337-962-3737
Mailing Address
-- COREY JACK
311 MACARTHUR DR
SUNSET, LA 70584-6212
Phone number: 337-962-3737
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