Individual
ANGULA MARIE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 YOUREE DR STE 482, SHREVEPORT, LA 71104-3666
(318) 869-1899
Mailing address
2800 YOUREE DR STE 482, SHREVEPORT, LA 71104-3666
(318) 869-1899
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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