MARCUS TERRANCE SIMON

LAKE CHARLES, LA
NPI1780260042
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2021-03-18
Last Update Date2021-03-18
Business Address
MARCUS TERRANCE SIMON
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586
Mailing Address
MARCUS TERRANCE SIMON
1409 KIRKMAN ST
LAKE CHARLES, LA 70601-5344
Phone number: 337-419-3586
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