Individual
STACI TALBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 WASHINGTON ST, MONROE, LA 71201-7046
(318) 325-8050
Mailing address
1705 WASHINGTON ST, MONROE, LA 71201-7046
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9979
LA
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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