Individual
MACKISHA BRUMANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 JOHN WESLEY BLVD APT 172, BOSSIER CITY, LA 71112-2294
(318) 243-0622
Mailing address
400 JOHN WESLEY BLVD APT 172, BOSSIER CITY, LA 71112-2294
(318) 243-0622
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
09/14/2023
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