BRENDA PACK

SHREVEPORT, LA
NPI1144775636
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2016-08-24
Last Update Date2018-06-08
Business Address
BRENDA PACK
4609 N MARKET ST STE. A
SHREVEPORT, LA 71107
Phone number: 318-626-5462
Mailing Address
BRENDA PACK
4609 N MARKET ST STE. A
SHREVEPORT, LA 71107-2900
Phone number: 318-626-5462
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