Individual
MARLO ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13888 PLANK RD, BAKER, LA 70714-4929
(225) 636-2638
(225) 775-5068
Mailing address
13888 PLANK RD, BAKER, LA 70714-4929
(225) 636-2638
(225) 775-5068
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
273056931
LA
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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