ANTHONY MARTIN CLARK

BATON ROUGE, LA
NPI1598294746
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  010231785)
Enumeration Date2017-06-09
Last Update Date2017-06-09
Business Address
ANTHONY MARTIN CLARK
8946 INTERLINE AVE STE A
BATON ROUGE, LA 70809-1913
Phone number: 225-615-7282
Mailing Address
ANTHONY MARTIN CLARK
4155 ESSEN LN APT 265
BATON ROUGE, LA 70809-2189
Phone number: 225-933-2840
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