Individual
MR. PAXTON E. OLIVER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
2006 GUS KAPLAN DR, ALEXANDRIA, LA 71301-3376
(318) 487-5395
(318) 487-5463
Mailing address
2006 GUS KAPLAN DR, ALEXANDRIA, LA 71301-3376
(318) 487-5395
(318) 487-5463
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/17/2009
Last updated
09/17/2009
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