MARTHA LYNN FONTENOT

LAKE CHARLES, LA
NPI1639329022
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  808)
Enumeration Date2008-09-23
Last Update Date2011-07-29
Business Address
-- MARTHA LYNN FONTENOT LAC
614 ESPLANADE ST
LAKE CHARLES, LA 70607-6308
Phone number: 337-478-1411
Mailing Address
-- MARTHA LYNN FONTENOT LAC
913 ARDMORE ST
LAKE CHARLES, LA 70605-5476
Phone number: 337-302-3157
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