Individual
TYWANA MCCLURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 N BEECH ST STE 2805, TALLULAH, LA 71282-3809
(318) 493-5147
(318) 493-5148
Mailing address
805 N BEECH ST STE 2805, TALLULAH, LA 71282-3809
(318) 493-5147
(318) 493-5148
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
LA
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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