ADDISON FORD

SHREVEPORT, LA
NPI1225402811
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-11-19
Last Update Date2015-11-19
Business Address
-- ADDISON FORD
543 EAST STONER AVE
SHREVEPORT, LA 71101
Phone number: 318-673-9901
Mailing Address
-- ADDISON FORD
543 EAST STONER
SHREVEPORT, LA 71101
Phone number: 318-673-9901