Individual
ASHLEY BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3510 LINWOOD AVE, SHREVEPORT, LA 71103-4512
(318) 636-4194
Mailing address
3510 LINWOOD AVE, SHREVEPORT, LA 71103-4512
(318) 636-4194
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
13057
LA
Other
Enumeration date
11/10/2015
Last updated
11/10/2015
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