Individual
MR. DONALD D HEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW MSW
Contact information
Practice address
910 PIERREMONT ROAD, SUITE #357, SHREVEPORT, LA 71106-2063
(318) 865-3199
(318) 219-8260
Mailing address
910 PIERREMONT ROAD, SUITE #357, SHREVEPORT, LA 71106-2063
(318) 865-3199
(318) 219-8260
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
LA
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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