Individual
LA'BREYAH OGBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 MARSHALL ST, SHREVEPORT, LA 71101-4139
(318) 226-9942
(318) 226-9944
Mailing address
1717 MARSHALL ST, SHREVEPORT, LA 71101-4139
(318) 226-9942
(318) 226-9944
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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