Individual
RAPHAEL SEMMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
185 BURT BLVD STE B, BENTON, LA 71006-4904
(318) 935-5007
Mailing address
770 DUMAINE DR, BOSSIER CITY, LA 71111-6273
(318) 272-2876
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6302
LA
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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