Individual
TERRELL MICHAEL JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2439 MANHATTAN BLVD STE 301, HARVEY, LA 70058-5359
(504) 309-4628
Mailing address
2439 MANHATTAN BLVD STE 301, HARVEY, LA 70058-5359
(504) 309-4628
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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