Individual
SHIRCARRA DOBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 YOUREE DR, SHREVEPORT, LA 71101-5117
(318) 675-0804
Mailing address
3625 YOUREE DR, SHREVEPORT, LA 71105-2121
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421562095
—
LA
Enumeration date
07/17/2017
Last updated
07/21/2022
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