CASEY THOMAS

SHREVEPORT, LA
NPI1144734708
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-11-18
Last Update Date2017-11-18
Business Address
CASEY THOMAS
351 W 79TH ST
SHREVEPORT, LA 71106-4819
Phone number: 318-688-8190
Mailing Address
CASEY THOMAS
351 W 79TH ST
SHREVEPORT, LA 71106-4819
Phone number: 318-688-8190