Individual
ALEXIS MONAE GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 N BEECH ST STE 2, TALLULAH, LA 71282-3809
(318) 493-5147
Mailing address
4323 COMMONS CIR, VICKSBURG, MS 39180-5861
(601) 572-6962
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
06/02/2020
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