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Individual

MRS. LORRETTA R EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED.,NCC,LPC

Contact information

Practice address
509 E THOMAS ST, HAMMOND, LA 70401-3321
(985) 351-7701
Mailing address
509 E THOMAS ST, HAMMOND, LA 70401-3321
(985) 351-7701

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4119
LA

Other

Enumeration date
10/09/2012
Last updated
10/09/2012
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