GLEN ELLIS BROWN

RAYVILLE, LA
NPI1679177422
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  4056)
Enumeration Date2020-11-23
Last Update Date2020-11-23
Business Address
GLEN ELLIS BROWN
161 COMEAUX RD
RAYVILLE, LA 71269
Phone number: 318-303-5500
Mailing Address
GLEN ELLIS BROWN
PO BOX 745
RAYVILLE, LA 71269-0745
Phone number: 318-303-5500
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