Individual
MICAH LOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6363 POPLAR AVE, MEMPHIS, TN 38119-4831
(901) 298-6368
Mailing address
6363 POPLAR AVE STE 404, MEMPHIS, TN 38119-4831
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4190
TN
Other
Enumeration date
03/07/2019
Last updated
03/07/2019
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