Individual
ASHLEY BRUNIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-4401
Mailing address
8636 BLACK BIRCH AVE, ZACHARY, LA 70791-8354
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
12256
LA
Other
Enumeration date
09/18/2014
Last updated
09/05/2023
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