TARA J BLACK

SHREVEPORT, LA
NPI1508313735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: LA  12403)
Additional Taxonomies101YM0800X Counselor, Mental Health
171M00000X Case Manager/Care Coordinator
Enumeration Date2016-09-06
Last Update Date2025-01-23
Business Address
TARA J BLACK
7019 LOUISE ST
SHREVEPORT, LA 71108
Phone number: 318-218-3896
Mailing Address
TARA J BLACK
7019 LOUISE ST
SHREVEPORT, LA 71108-4840
Phone number: 318-218-3896