Individual
LATRICE DUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1800 BUCKNER ST STE A120, SHREVEPORT, LA 71101-4440
(318) 429-2443
(318) 429-2440
Mailing address
PO BOX 374, MINDEN, LA 71058-0374
(318) 458-5157
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
Primary
RN139191
LA
Other
Enumeration date
01/26/2018
Last updated
12/07/2019
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