Individual
MR. JEMARTRIUS MAYWEATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2179 S WASHINGTON ST, MANSFIELD, LA 71052-4241
(318) 461-1198
Mailing address
PO BOX 388, MANSFIELD, LA 71052-0388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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