Individual
MRS. MARGUERITE WINGATE SALLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
707 SOUTHFIELD RD, SHREVEPORT, LA 71106
(318) 869-1632
(318) 869-1633
Mailing address
707 SOUTHFIELD RD, SHREVEPORT, LA 71106
(318) 869-1632
(318) 869-1633
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW440
LA
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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