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Individual

BOBBY CHURCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC, NCC

Contact information

Practice address
107 MILLER ST, FARMERVILLE, LA 71241-2311
(318) 368-4755
(318) 982-8050
Mailing address
107 MILLER STREET, FARMERVILLE, LA 71241-2311
(318) 368-4755
(318) 982-8050

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC#4604
LA

Other

Enumeration date
12/13/2016
Last updated
12/13/2016
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