Individual
KENYA CAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 OAKDALE ST, SHREVEPORT, LA 71108
(318) 208-7081
Mailing address
1520 OAKDALE ST, SHREVEPORT, LA 71108-3539
(318) 208-7081
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
04/17/2018
Last updated
05/18/2018
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