Individual
TARAYLA LASHAUN BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 FELICIA AVE, TALLULAH, LA 71282
(318) 341-9970
Mailing address
1705 FELICIA AVE, TALLULAH, LA 71282-8203
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
10/31/2017
Last updated
05/29/2018
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