Individual
LATANYA EUGENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 LAKEWOOD DR, LULING, LA 70070-6114
(504) 209-3256
(504) 943-1858
Mailing address
1 SUMMERTON DR, APT 48F, SAINT ROSE, LA 70087-3459
(504) 994-5957
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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