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Individual

MS. ANNA MICHELLE TALLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW-BACS

Contact information

Practice address
510 E STONER AVE, SHREVEPORT, LA 71101
(318) 221-8411
(318) 990-5545
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101
(318) 221-8411
(318) 990-5545

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
8591
LA

Other

Enumeration date
01/31/2017
Last updated
06/27/2025
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