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Individual

BETTY JO GINGLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2000 FAIRFIELD AVE, SHREVEPORT, LA 71104-2002
(318) 222-8511
(318) 425-9670
Mailing address
1440 HAWN AVE, SHREVEPORT, LA 71107-6532
(318) 226-5990

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8733
LA
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
12/07/2021
Last updated
02/12/2025
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