Individual
MISS PRISCILLA ANTIONETTE MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
Mailing address
6477 JOY DR, SHREVEPORT, LA 71119-5109
(318) 655-4915
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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