Individual
KRISTA LAW GASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
458 HERNDON ST, SHREVEPORT, LA 71101-4859
(318) 213-1860
(318) 227-6179
Mailing address
458 HERNDON ST, SHREVEPORT, LA 71101-4859
(318) 213-1860
(318) 227-6179
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
16411
LA
Other
Enumeration date
08/12/2021
Last updated
12/28/2022
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