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Individual

MRS. DEBRA MISSY G EVERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, DCSW

Contact information

Practice address
7330 FERN AVE, SUITE 204, SHREVEPORT, LA 71105-4971
(318) 798-7664
(318) 861-1710
Mailing address
7330 FERN AVE, SUITE 204, SHREVEPORT, LA 71105-4971
(318) 798-7664
(318) 861-1710

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1653
LA

Other

Enumeration date
12/12/2006
Last updated
07/08/2007
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