DARRICK KINCHEN

SHREVEPORT, LA
NPI1073985016
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor Mental Health
Enumeration Date2015-10-29
Last Update Date2018-05-24
Business Address
DARRICK KINCHEN
4209 MADERA DR
SHREVEPORT, LA 71119
Phone number: 318-820-6450
Mailing Address
DARRICK KINCHEN
4209 MADERA DR
SHREVEPORT, LA 71119-7722
Phone number: 318-820-6450
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