Individual
MYRA BORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2979 HIGHWAY 18, EDGARD, LA 70049-2508
(504) 491-6000
Mailing address
374 CASTLE DR, EDGARD, LA 70049-2524
(504) 491-6063
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/26/2017
Last updated
11/10/2018
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