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Individual

ABBY SELF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-5925
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-5925

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
05/13/2022
Last updated
03/09/2023
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