Individual
CARMEN LARAE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
805 N BEECH STREET, TALLULAH, LA 71282
(318) 574-0098
(318) 574-0066
Mailing address
805 N BEECH ST, TALLULAH, LA 71282-3809
(318) 574-0098
(318) 574-0066
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1882224
—
LA
Enumeration date
06/15/2017
Last updated
07/21/2022
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