Individual
ASHLEY KENYATA MONA MORRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1610 JACKSON ST, MONROE, LA 71202-2030
(318) 512-2857
(318) 388-4961
Mailing address
1610 JACKSON ST, MONROE, LA 71202-2030
(318) 512-2857
(318) 388-4961
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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