Individual
MELISSA ANNE DAMEWORTH AIRHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7330 FERN AVE, SHREVEPORT, LA 71105-4971
(318) 290-3331
Mailing address
7330 FERN AVE STE 1001, SHREVEPORT, LA 71105-4988
(318) 290-3331
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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