REVONDER THOMAS

SHREVEPORT, LA
NPI1073766747
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  8942)
Enumeration Date2008-10-28
Last Update Date2008-10-28
Business Address
-- REVONDER THOMAS LCSW
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
-- REVONDER THOMAS LCSW
510 E. STONER AVE.
SHREVEPORT, LA 71101-4295
Phone number: 318-221-8411
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