Individual
JEROME LAVETTE DARBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
351 W 79TH ST, SHREVEPORT, LA 71106-4819
(318) 688-8190
(318) 688-8193
Mailing address
3324 DANBURY CT, BOSSIER CITY, LA 71112-3100
(318) 230-1369
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10850
LA
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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