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Organization

COUVILLION WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GINGER COUVILLION (MANAGING PARTNER)
(318) 787-5952
Entity
Organization

Contact information

Practice address
3004 JACKSON ST, SUITE A, ALEXANDRIA, LA 71301-4745
(318) 787-5952
(318) 787-5962
Mailing address
3004 JACKSON ST, SUITE A, ALEXANDRIA, LA 71301-4745
(318) 787-5952
(318) 787-5962

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
5969
LA
225100000X
Physical Therapist
Primary
04977
LA

Other

Enumeration date
09/24/2010
Last updated
09/24/2010
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