Individual
TIA ANN MCKOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10007 SARATOGA DR, SHREVEPORT, LA 71115-3479
(318) 779-0196
Mailing address
10007 SARATOGA DR, SHREVEPORT, LA 71115-3479
(318) 779-0196
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4610
LA
Other
Enumeration date
01/03/2010
Last updated
01/03/2010
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