JACQUILLA STEPHENS MOTON

SHREVEPORT, LA
NPI1548774797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-11-27
Last Update Date2018-07-31
Business Address
JACQUILLA STEPHENS MOTON
1500 N MARKET ST STE C104
SHREVEPORT, LA 71107
Phone number: 318-626-5597
Mailing Address
JACQUILLA STEPHENS MOTON
1500 N MARKET ST STE C104
SHREVEPORT, LA 71107-6545
Phone number: 318-626-5597