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Organization
OVERTON BROOKS VA MEDICAL CENTER
Active
Organization
OVERTON BROOKS VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ROSHANDRA NICOLE SWAN LMSW (SOCIAL WORKER)
(318) 990-4935
Entity
Organization
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
7791
LA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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