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Individual

ANGELA D WASHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3936 GREENWOOD RD, SHREVEPORT, LA 71109-6409
(318) 636-6002
(318) 716-1234
Mailing address
3936 GREENWOOD RD, SHREVEPORT, LA 71109-6409
(318) 636-6002
(318) 716-1234

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/26/2017
Last updated
04/26/2017
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