Individual
BESSIE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
631 E 85TH ST, SHREVEPORT, LA 71106-5819
(904) 635-0536
Mailing address
631 E 85TH ST, SHREVEPORT, LA 71106-5819
(904) 635-0536
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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