HENRY NEAL WALLACE

BATON ROUGE, LA
NPI1699235770
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-03-23
Last Update Date2019-03-23
Business Address
Mr. HENRY NEAL WALLACE CIT
10473 OLD HAMMOND HWY
BATON ROUGE, LA 70816-8264
Phone number: 225-683-4144
Mailing Address
Mr. HENRY NEAL WALLACE CIT
1184 HARCO DR
BATON ROUGE, LA 70815-2916
Phone number:
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