Individual
JEROME MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2224 MILAN ST, NEW ORLEANS, LA 70115-5452
(336) 324-1285
Mailing address
2224 MILAN ST, NEW ORLEANS, LA 70115-5452
(336) 324-1285
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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