Organization
MARGO MALONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGO MICHELLE MALONE (MHP)
(318) 272-8177
Entity
Organization
Contact information
Practice address
3134 PETITE DR, BOSSIER CITY, LA 71111-7817
(318) 272-8177
Mailing address
3134 PETITE DR, BOSSIER CITY, LA 71111-7817
(318) 272-8177
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/04/2016
Last updated
08/04/2016
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