Individual
DEANDRA MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3341 YOUREE DR STE 10B, SHREVEPORT, LA 71105-2149
(318) 675-0804
(318) 779-1867
Mailing address
1000 CHINABERRY DR STE 900, BOSSIER CITY, LA 71111-2455
(318) 459-6795
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12872
LA
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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