Individual
DEMARIAE Z PURIFOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2800 YOUREE DR STE 482, SHREVEPORT, LA 71104-3666
(318) 869-1899
Mailing address
569 MAGNOLIA DR, MARRERO, LA 70072-1112
(318) 820-8852
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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