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1912377227
JEREMY TAYLOR
SHREVEPORT, LA
NPI
1912377227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2015-09-29
Last Update Date
2018-06-15
Business Address
JEREMY TAYLOR
3325 CHEVERNY CIR
SHREVEPORT, LA 71118
Phone number: 318-607-4474
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Mailing Address
JEREMY TAYLOR
3325 CHEVERNY CIR
SHREVEPORT, LA 71118-4328
Phone number:
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