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Individual

DR. DUDLEY G CHEWNING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT, LPC

Contact information

Practice address
820 JORDAN ST, SUITE 570, SHREVEPORT, LA 71101-4518
(318) 221-4455
(318) 221-4459
Mailing address
820 JORDAN ST, SUITE 570, SHREVEPORT, LA 71101-4518
(318) 221-4455
(318) 221-4459

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1764
LA
106H00000X
Marriage & Family Therapist
334
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1764
LPC
LA
01
334
LMFT
LA
Enumeration date
03/14/2006
Last updated
08/21/2007
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