Individual
MRS. DIXIE TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
2604 LOVERS LN, RUSTON, LA 71270-2227
(334) 372-7055
Mailing address
2604 LOVERS LN, RUSTON, LA 71270-2227
(334) 372-7055
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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