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Individual

BENNY FRANK MCKINSEY JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RSW

Contact information

Practice address
2219 CLAIBORNE AVE, SHREVEPORT, LA 71103-4301
(318) 779-0434
Mailing address
2219 CLAIBORNE AVE, SHREVEPORT, LA 71103-4301
(318) 779-0434

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10472
LA

Other

Enumeration date
04/09/2024
Last updated
04/09/2024
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