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Organization

SOCIAL WORK PROFESSIONAL SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LARIANA ALEXIS GRAHAM-TAYLOR LCSW (OWNER/MEMBER)
(318) 464-8113
Entity
Organization

Contact information

Practice address
2219 CLAIBORNE AVE, SHREVEPORT, LA 71103-4301
(318) 464-8113
Mailing address
2219 CLAIBORNE AVE, SHREVEPORT, LA 71103-4301
(318) 464-8113

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
LA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
07/06/2016
Last updated
07/15/2023
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