Individual
LAKETHA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 KNIGHT ST, SHREVEPORT, LA 71105-2415
(318) 631-1122
Mailing address
2924 KNIGHT ST, SUITE 434, SHREVEPORT, LA 71105-2415
(318) 631-1122
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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