Individual
MARCUS TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 ALBERT AVE, SHREVEPORT, LA 71105-3003
(318) 401-0177
Mailing address
105 ALBERT AVE, SHREVEPORT, LA 71105-3003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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