Lee Antwine JR.

NPI #1033645676 in Bastrop, Louisiana

Provider Information

NPI Number: 1033645676
Entity Type: Individual
Name: Lee Antwine JR.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 2, 2017
Last Updated: May 2, 2017

Practice Location

Address: 209 W JEFFERSON AVE
Address 2: 209 WEST JEFFERSON AVE
City: Bastrop
State: Louisiana
ZIP Code: 71220-4543
Phone: (318) 239-3890

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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