Individual
MARQUISE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9806 HASTINGS CT, SHREVEPORT, LA 71118-4846
(318) 344-8318
Mailing address
9806 HASTINGS CT, SHREVEPORT, LA 71118-4846
(318) 344-8318
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
008276883
LA
Other
Enumeration date
02/25/2017
Last updated
03/17/2017
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