Individual
SAMANTHA NICOLE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1310 N HEARNE AVE, SHREVEPORT, LA 71107-6516
(318) 676-5131
Mailing address
4900 GENERAL STERLING PRICE PL, BOSSIER CITY, LA 71112-4762
(318) 676-5131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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