DERRICK LUDLEY

SHREVEPORT, LA
NPI1114392214
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: LA  005361977)
Enumeration Date2015-12-01
Last Update Date2018-08-02
Business Address
DERRICK LUDLEY MHP
404 HEARNE AVE
SHREVEPORT, LA 71103
Phone number: 318-716-1369
Mailing Address
DERRICK LUDLEY MHP
404 HEARNE AVE
SHREVEPORT, LA 71103-2022
Phone number: 318-716-1369