MARJORIE LETARDE BOOTY

SHREVEPORT, LA
NPI1477725943
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: SC  9301)
Additional Taxonomies101YM0800X Counselor Mental Health
(Licence: LA  6479)
Enumeration Date2008-03-25
Last Update Date2009-11-24
Business Address
MARJORIE LETARDE BOOTY M.S.W., L.C.S.W.
816 ONEONTA ST
SHREVEPORT, LA 71106-1130
Phone number: 318-550-7164
Mailing Address
MARJORIE LETARDE BOOTY M.S.W., L.C.S.W.
816 ONEONTA ST
SHREVEPORT, LA 71106-1130
Phone number: 318-550-7164
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