Most Relevant Information
Provider Data
| NPI Number: | 1003499328 |
| Provider Name: | ANDREA S MCMURRY |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/04/2021 |
| Last Updated: | 05/04/2021 |
Provider Practice Location
1504 S TRENTON ST
RUSTON
LA
712706424
Practice Location Phone/Fax
| Phone: | 3185488411 |
| Fax: |
Provider Mailing Location
1504 S TRENTON ST
RUSTON
LA
712706424
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |