Individual
DEBRA ELAINE HARTZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2924 KNIGHT ST STE 369, SHREVEPORT, LA 71105-2413
(318) 210-0587
Mailing address
2924 KNIGHT ST STE 369, SHREVEPORT, LA 71105-2413
(318) 655-6531
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
4934
LA
Other
Enumeration date
03/07/2016
Last updated
06/02/2023
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