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Individual

RYAN LEE POMMIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RAC

Contact information

Practice address
2000 FAIRFIELD AVE, SHREVEPORT, LA 71104-2002
(318) 222-8511
(318) 222-3273
Mailing address
2000 FAIRFIELD AVE, SHREVEPORT, LA 71104-2002
(318) 222-8511
(318) 222-3273

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1245
LA

Other

Enumeration date
10/09/2017
Last updated
10/09/2017
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