Most Relevant Information
Provider Data
NPI Number: | 1003268160 |
Provider Name: | MARKITTA TAYLOR |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 07/12/2016 |
Last Updated: | 07/12/2016 |
Provider Practice Location
3018 OLD MINDEN RD STE 1117
BOSSIER CITY
LA
711122497
Practice Location Phone/Fax
Phone: | 3187461935 |
Fax: |
Provider Mailing Location
3018 OLD MINDEN RD STE 1117
BOSSIER CITY
LA
711122497
Provider Mailing Phone/Fax
Phone: | 3187461935 |
Fax: |