TERRENCE MILLICAN

SHREVEPORT, LA
NPI1851758759
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2016-01-22
Last Update Date2016-01-22
Business Address
-- TERRENCE MILLICAN
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104-3600
Phone number: 318-742-3408
Mailing Address
-- TERRENCE MILLICAN
2525 YOUREE DR STE 110
SHREVEPORT, LA 71104-3600
Phone number: 318-742-3408