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Individual

DR. DAVID PHILIP WALDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ED.D., LICENSED ADDI

Contact information

Practice address
3018 OLD MINDEN RD, SUITE 1108, BOSSIER CITY, LA 71112
(318) 465-3849
Mailing address
3018 OLD MINDEN RD, SUITE 1108, BOSSIER CITY, LA 71112
(318) 465-3849

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
418
LA

Other

Enumeration date
08/29/2013
Last updated
08/29/2013
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