MARY TERESA WILLCOX

BOSSIER CITY, LA
NPI1679084925
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  3259)
Enumeration Date2017-10-13
Last Update Date2017-10-13
Business Address
Mrs. MARY TERESA WILLCOX CIT
1525 FULLILOVE DR
BOSSIER CITY, LA 71112-3346
Phone number: 318-747-1211
Mailing Address
Mrs. MARY TERESA WILLCOX CIT
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104-2002
Phone number: 318-222-8511