Individual
TERESA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 S COLUMBIA ST, BOGALUSA, LA 70427-5800
(985) 735-1750
Mailing address
1640 S COLUMBIA ST, BOGALUSA, LA 70427-5800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PLC7983
LA
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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