Individual
THERESA DAVIDSON SNOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
820 JORDAN ST STE 510W, SHREVEPORT, LA 71101-4526
(318) 861-1090
Mailing address
820 JORDAN ST STE 510W, SHREVEPORT, LA 71101-4526
(318) 861-1090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2246
LA
104100000X
Social Worker
Primary
2246
LA
Other
Enumeration date
09/17/2019
Last updated
11/01/2020
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