Individual
TAKEYAH MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2322 HUEY P LONG AVE, GRETNA, LA 70053-6828
(504) 452-3007
Mailing address
2322 HUEY P LONG AVE, GRETNA, LA 70053-6828
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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