TYEKIA WILLIS

SHREVEPORT, LA
NPI1952840985
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2017-02-23
Last Update Date2019-05-09
Business Address
TYEKIA WILLIS
1500 N MARKET ST C-104
SHREVEPORT, LA 71107-6537
Phone number: 318-626-5597
Mailing Address
TYEKIA WILLIS
1500 N MARKET ST C-104
SHREVEPORT, LA 71107-6537
Phone number:
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