Individual
LARRY POUSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 WILLIAMS BLVD STE A, KENNER, LA 70062-8212
(504) 453-6034
Mailing address
2407 21ST ST, KENNER, LA 70062-5948
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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