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Individual

NICOLE TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9437 LYTHAM DR, SHREVEPORT, LA 71129-4825
(318) 687-9141
Mailing address
9437 LYTHAM DR, SHREVEPORT, LA 71129-4825

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
101YM0800X
LA

Other

Enumeration date
12/17/2015
Last updated
12/17/2015
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