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Individual

MR. RONALD PRADEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MASTERS IN SPED

Contact information

Practice address
9403 MANSFIELD RD, SHREVEPORT, LA 71118-3815
(318) 861-8938
(318) 862-3554
Mailing address
6777 RASBERRY LN, SHREVEPORT, LA 71129-2501
(318) 688-3900

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010147213
DRIVER'S LICENSE
LA
Enumeration date
02/06/2018
Last updated
02/06/2018
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