Individual
DEBRA MEADORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 YOUREE DR, APT 54, SHREVEPORT, LA 71104-3671
(318) 675-0804
Mailing address
1600 PARK AVE, APT 54, SHREVEPORT, LA 71103-3104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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