Individual
STAUGHTON JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8501 MILLICENT WAY APT 1085, SHREVEPORT, LA 71115-2231
(318) 424-8735
Mailing address
8501 MILLICENT WAY APT 1085, SHREVEPORT, LA 71115-2231
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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