TIMOTHY DAVIDSON

SHREVEPORT, LA
NPI1083027437
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  3473)
Enumeration Date2014-06-03
Last Update Date2014-06-03
Business Address
-- TIMOTHY DAVIDSON LCSW
847 NEW LONDON ST
SHREVEPORT, LA 71118-3524
Phone number: 318-688-9292
Mailing Address
-- TIMOTHY DAVIDSON LCSW
847 NEW LONDON ST
SHREVEPORT, LA 71118-3524
Phone number: 318-688-9292