Individual
ADELAIDE PRIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MHP
Contact information
Practice address
1808 S 5TH ST STE A, LEESVILLE, LA 71446-5308
(337) 238-4350
Mailing address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104-3600
(318) 742-3408
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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