Organization
OVERTON BROOKS VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ROSHANDRA NICOLE SWAN LMSW (SOCIAL WORKER)
(318) 990-4935
Entity
Organization
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
7791
LA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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