JOHN LAWAYNE TAYLOR

SHREVEPORT, LA
NPI1417401506
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-08-07
Last Update Date2018-07-22
Business Address
Mr. JOHN LAWAYNE TAYLOR
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103
Phone number: 318-572-9431
Mailing Address
Mr. JOHN LAWAYNE TAYLOR
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103-4301
Phone number:
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