Individual
LAURIE THIEL GUILLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
Mailing address
PO BOX 69004, 2495 SHREVEPORT HIGHWAY 71 NORTH, ALEXANDRIA, LA 71306-9004
(318) 473-0010
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6383
LA
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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