Individual
CAMERON LENORE LARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 VETERANS BLVD, DENHAM SPRINGS, LA 70726-4725
(225) 349-7960
Mailing address
8155 JEFFERSON HWY APT 104, BATON ROUGE, LA 70809-1607
(225) 402-1834
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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