Individual
MARIAM HARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SPRING ST, SUITE 205, SHREVEPORT, LA 71101-3758
(318) 670-3170
Mailing address
800 SPRING ST, SUITE 205, SHREVEPORT, LA 71101-3758
(318) 670-3170
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/18/2016
Last updated
01/18/2016
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