DEANGELO BROOKS

SHREVEPORT, LA
NPI1114495603
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171000000X Military Health Care Provider
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-11-02
Last Update Date2020-09-22
Business Address
DEANGELO BROOKS
1105 ISLAND PARK BLVD APT 1126
SHREVEPORT, LA 71105-4783
Phone number: 318-404-7134
Mailing Address
DEANGELO BROOKS
5720 S LAKESHORE DR APT 605
SHREVEPORT, LA 71119-3930
Phone number: 318-404-7134