TARA BLACK

SHREVEPORT, LA
NPI1508313735
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-09-06
Last Update Date2018-05-24
Business Address
TARA BLACK
7019 LOUISE ST
SHREVEPORT, LA 71108
Phone number: 318-218-3896
Mailing Address
TARA BLACK
7019 LOUISE ST
SHREVEPORT, LA 71108-4840
Phone number: 318-218-3896
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