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Individual

TILEASHA LATEER BOSSARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9428 BROOKLINE AVE STE 2, BATON ROUGE, LA 70809-1428
(225) 372-2693
Mailing address
1962 RICE DR, BATON ROUGE, LA 70802-1569
(225) 448-9622

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
07/03/2018
Last updated
07/03/2018
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