Individual
EYAN WESS CEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1409 KIRKMAN ST, LAKE CHARLES, LA 70601-5344
(337) 419-3583
Mailing address
1409 KIRKMAN ST, LAKE CHARLES, LA 70601-5344
(337) 419-3583
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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