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Individual

MS. JENNIFER D BALANO-TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
305 S HIGHLAND DR, MANY, LA 71449
(318) 256-5200
Mailing address
1301 YOUREE DR, SHREVEPORT, LA 71101-5117

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/06/2017
Last updated
07/26/2018
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