Individual
SHANEQUA DEJON BRIDGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
Mailing address
336 HIGHWAY 583 N, TYLERTOWN, MS 39667-6703
(601) 303-5767
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/17/2017
Last updated
03/15/2024
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