Individual
MRS. MIGNON MOORE HILLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
645 W MARLIN CT, TERRYTOWN, LA 70056-2960
(504) 717-1346
Mailing address
645 W MARLIN CT, TERRYTOWN, LA 70056-2960
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
LA
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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