Individual
FERMINE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 HOMER RD, MINDEN, LA 71055-2833
(318) 639-9562
Mailing address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104-3600
(318) 742-3408
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
LA
106E00000X
Assistant Behavior Analyst
—
LA
Other
Enumeration date
09/15/2017
Last updated
07/21/2022
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