Individual
AMANDA LEE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
401 W 70TH ST, SHREVEPORT, LA 71106-3034
(318) 868-4552
Mailing address
1 SAINT MARY PL, SHREVEPORT, LA 71101-4343
(318) 681-7113
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10208
LA
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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