Individual
EMILY VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7607 FERN AVE STE 702, SHREVEPORT, LA 71105-5744
(318) 370-1442
Mailing address
1029 TOWHEE DR, SHREVEPORT, LA 71106-8434
(183) 701-4423
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11084
LA
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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