Individual
CARLEY R FONTENOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12470 HEBERT RD, GONZALES, LA 70737-7656
(225) 290-8023
Mailing address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
(504) 475-5303
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
10/20/2023
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