Individual
CARGINA JOHNETTE MYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3939 LINWOOD AVE, SHREVEPORT, LA 71108
(318) 868-3093
Mailing address
1048 DEVEREAUX RD, SHREVEPORT, LA 71107-3004
(318) 423-5391
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17040
LA
Other
Enumeration date
04/01/2016
Last updated
08/04/2023
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