Most Relevant Information
Provider Data
NPI Number: | 1003521899 |
Provider Name: | LAURYN TAYLOR FRY CIT |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 01/17/2023 |
Last Updated: | 01/19/2023 |
Provider Practice Location
32497 LAKE POINT BLVD
DENHAM SPRINGS
LA
707261833
Practice Location Phone/Fax
Phone: | 2253352288 |
Fax: |
Provider Mailing Location
32497 LAKE POINT BLVD
DENHAM SPRINGS
LA
707261833
Provider Mailing Phone/Fax
Phone: | |
Fax: |