BRANDON SLACKS

MANSFIELD, LA
NPI1972055804
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  00902654)
Enumeration Date2016-10-26
Last Update Date2016-10-26
Business Address
-- BRANDON SLACKS
117 CAROLYN ST
MANSFIELD, LA 71052-2901
Phone number: 318-461-1215
Mailing Address
-- BRANDON SLACKS
117 CAROLYN ST
MANSFIELD, LA 71052-2901
Phone number:
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