ANTOINETTE SLACK

FERRIDAY, LA
NPI1760212708
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-08-05
Last Update Date2024-08-05
Business Address
ANTOINETTE SLACK
109 DOTY RD
FERRIDAY, LA 71334-4053
Phone number: 318-437-7040
Mailing Address
ANTOINETTE SLACK
109 DOTY RD
FERRIDAY, LA 71334-4053
Phone number: 318-437-7040
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