Individual
ASHLEY MICHELLE TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
543 STONER AVE, SHREVEPORT, LA 71101-4122
(318) 673-9901
Mailing address
2430 VANCEVILLE RD, BOSSIER CITY, LA 71111-6314
(319) 617-5349
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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