Individual
LA'KEISHA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 RICHARD ST, BREAUX BRIDGE, LA 70517-6039
(337) 332-1810
Mailing address
400 RICHARD ST, BREAUX BRIDGE, LA 70517-6039
(337) 332-1810
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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