LATANEIL TERRY

SHREVEPORT, LA
NPI1720599756
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-10-17
Last Update Date2025-02-04
Business Address
LATANEIL TERRY
3120 MONTANA ST
SHREVEPORT, LA 71107-5111
Phone number: 318-364-0741
Mailing Address
LATANEIL TERRY
3120 MONTANA ST
SHREVEPORT, LA 71107-5111
Phone number: 318-364-0741