Individual
RICKSHARD HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6811 FAIRFIELD AVE, SHREVEPORT, LA 71106-3803
(318) 216-5088
Mailing address
6811 FAIRFIELD AVE, SHREVEPORT, LA 71106-3803
(318) 216-5088
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
LA
104100000X
Social Worker
—
—
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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