Most Relevant Information
Provider Data
| NPI Number: | 1003338534 |
| Provider Name: | KEYORKA K DENNIS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/17/2017 |
| Last Updated: | 05/08/2019 |
Provider Practice Location
3205 NEW HIGHWAY 51 STE C
LA PLACE
LA
700686512
Practice Location Phone/Fax
| Phone: | 5047023995 |
| Fax: | 5047023994 |
Provider Mailing Location
3205 NEW HIGHWAY 51 STE C
LA PLACE
LA
700686512
Provider Mailing Phone/Fax
| Phone: | 9856510020 |
| Fax: | 9856510027 |