JODY LOWERY WALDO

SHREVEPORT, LA
NPI1043873631
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: LA  4237)
Enumeration Date2019-04-18
Last Update Date2019-04-18
Business Address
JODY LOWERY WALDO CIT
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104-2099
Phone number: 318-222-8511
Mailing Address
JODY LOWERY WALDO CIT
2000 FAIRFIELD AVE
SHREVEPORT, LA 71104-2099
Phone number: 318-222-8511
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