IZELRAY TAYLOR

SHREVEPORT, LA
NPI1467994517
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-11-07
Last Update Date2019-06-12
Business Address
IZELRAY TAYLOR
200 N THOMAS DR 1A
SHREVEPORT, LA 71107-6503
Phone number: 318-424-8345
Mailing Address
IZELRAY TAYLOR
200 N THOMAS DR 1A
SHREVEPORT, LA 71107-6503
Phone number: 318-424-8345
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