Tileasha Lateer Bossard

NPI #1033605936 in Baton Rouge, Louisiana

Provider Information

NPI Number: 1033605936
Entity Type: Individual
Name: Tileasha Lateer Bossard
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 3, 2018
Last Updated: Jul 3, 2018

Practice Location

Address: 9428 BROOKLINE AVE STE 2
City: Baton Rouge
State: Louisiana
ZIP Code: 70809-1428
Phone: (225) 372-2693

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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