Individual
BAILEY STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
800 SPRING ST STE 205, SHREVEPORT, LA 71101-3757
(318) 670-3170
Mailing address
12117 PROVIDENCE RD, SHREVEPORT, LA 71129-8521
(318) 393-9761
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
18190
LA
Other
Enumeration date
10/28/2024
Last updated
11/01/2024
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