Individual
MRS. PERIDOT GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
520 OLIVE ST, SHREVEPORT, LA 71104-2312
(318) 349-7665
Mailing address
4855 AIRLINE DR APT 31B, BOSSIER CITY, LA 71111-6642
(318) 349-7665
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6951
LA
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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