EVELYN DERRY

SHREVEPORT, LA
NPI1144773102
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  7130)
Enumeration Date2016-07-26
Last Update Date2022-12-22
Business Address
EVELYN DERRY
1513 LINE AVE STE 225
SHREVEPORT, LA 71101-4621
Phone number: 318-754-3890
Mailing Address
EVELYN DERRY
1513 LINE AVE STE 225
SHREVEPORT, LA 71101-4621
Phone number: 318-754-3890
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