Individual
TOMMIE JEAN RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 S HIGHLAND DR, MANY, LA 71449-3719
(318) 256-5200
Mailing address
3625 YOUREE DR, SHREVEPORT, LA 71105-2121
(318) 256-5200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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