Individual
ANGELA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW BACS
Contact information
Practice address
7330 FERN AVE STE 204, SHREVEPORT, LA 71105-4973
(318) 216-3239
(318) 368-1155
Mailing address
9315 MIDVALE DR, SHREVEPORT, LA 71118-3554
(318) 751-0802
(318) 751-0802
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
11839
LA
Other
Enumeration date
07/05/2016
Last updated
04/21/2024
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