Individual
RHONDA BARDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104-3600
(318) 473-4328
(318) 473-4329
Mailing address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104-3600
(318) 473-4328
(318) 473-4329
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
13835
LA
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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