specializing in adult companion in Clarks, Louisiana

NPI: 1790904423

Provider Type

2

Practice Locations

Mailing Location

PO BOX 69

CLARKS, LA 71415

📞 3186498846

📠 3186495980

Practice Location

405 WALL STREET

COLUMBIA, LA 71418

📞 3186498846

📠 3186495980

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:4/24/2007
Last Updated:2/13/2008

Credentials

Primary Credential:
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