Individual
JONATHAN ELMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 MORRIS AVE, MONROE, LA 71202-2067
(318) 600-3962
Mailing address
2309 FERRAND STREET APT 105, MONROE, LA 71202
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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