Individual
MICHALEN DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4718 HEARNE AVE, SHREVEPORT, LA 71108-2703
(318) 828-1521
Mailing address
1623 VIVIAN ST, SHREVEPORT, LA 71108-2313
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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