Organization
DAMITA BRASWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMITA WALKER BRASWELL (COUNSELOR)
(318) 834-1859
Entity
Organization
Contact information
Practice address
414 LAVITA DR, SHREVEPORT, LA 71106-7519
(318) 834-1859
(318) 402-4269
Mailing address
414 LAVITA DR, SHREVEPORT, LA 71106-7519
(318) 834-1859
(318) 402-4269
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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