Individual
BRENDA SUE HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2920 KNIGHT ST STE 110, SHREVEPORT, LA 71105-2412
(318) 459-1600
Mailing address
2920 KNIGHT ST STE 110, SHREVEPORT, LA 71105-2412
(318) 459-1600
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/25/2022
Last updated
08/25/2022
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