Individual
DEMETRIC SHONDRELL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 SOUTH DR, NATCHITOCHES, LA 71457-5060
(318) 228-3197
Mailing address
211 KINGSTON DR, NATCHITOCHES, LA 71457-3139
(318) 527-1391
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
LA
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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