Individual
MRS. MARY CORLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 BIENVILLE ST STE 6, NATCHITOCHES, LA 71457-5700
(318) 357-9009
Mailing address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104-3600
(318) 423-3408
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13760
LA
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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