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Individual

WILLIE E. HAMMONTREE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 458-0710
Mailing address
2158 GERMANTOWN RD, MINDEN, LA 71055-7308
(318) 382-2455

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
109070
TX
104100000X
Social Worker
Primary
15564
LA

Other

Enumeration date
03/15/2023
Last updated
04/10/2024
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