BRUCE ELLIS MILES

SHREVEPORT, LA
NPI1215519848
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  5552)
Enumeration Date2021-04-23
Last Update Date2021-04-23
Business Address
Mr. BRUCE ELLIS MILES LPC
1255 SHREVEPORT BARKSDALE HWY
SHREVEPORT, LA 71105-2405
Phone number: 318-861-1776
Mailing Address
Mr. BRUCE ELLIS MILES LPC
405 CLERK ST
MINDEN, LA 71055-2415
Phone number: 318-207-7265
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