Individual
ANTHONY LIONEL GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1810 CARTER ST, VIDALIA, LA 71373-3115
(318) 336-4797
(318) 336-4799
Mailing address
PO BOX 537, FERRIDAY, LA 71334-0537
(318) 336-4797
(318) 336-4799
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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