Individual
MISS TIERRA L HEARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 221-8411
Mailing address
204 BOURBON ST, BOSSIER CITY, LA 71112-2212
(318) 820-6476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9569
LA
Other
Enumeration date
12/28/2007
Last updated
09/12/2016
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