Individual
MRS. JACQUELINE WYNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7649 WHITE OAK DR, SHREVEPORT, LA 71129-3932
(318) 210-3500
Mailing address
7649 WHITE OAK DR, SHREVEPORT, LA 71129-3932
(318) 210-3500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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