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Individual

MS. MAR-LOU BRASHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LMFT

Contact information

Practice address
1800 BUCKNER ST, SUITE B-230, SHREVEPORT, LA 71101-4440
(318) 220-7401
(318) 220-7404
Mailing address
1800 BUCKNER ST, SUITE B-230, SHREVEPORT, LA 71101-4440
(318) 220-7401
(318) 220-7404

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2846
LA
106H00000X
Marriage & Family Therapist
Primary
921
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21615
BCBS PROVIDER NUMBER
LA
Enumeration date
06/28/2006
Last updated
09/11/2025
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