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Individual

DEIDRA D TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1325 WRIGHT AVE., SUITE D, LAFAYETTE, LA 70506-4630
(337) 514-5181
Mailing address
1812 EDWARDS ST, OPELOUSAS, LA 70570-4780
(713) 679-8394

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
LA

Other

Enumeration date
04/13/2018
Last updated
10/20/2022
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