BRODERICK HUNTER

SHREVEPORT, LA
NPI1225493109
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2015-12-21
Last Update Date2018-08-21
Business Address
BRODERICK HUNTER
254 OLYMPIA DR
SHREVEPORT, LA 71106
Phone number: 318-918-9363
Mailing Address
BRODERICK HUNTER
254 OLYMPIA DR
SHREVEPORT, LA 71106-7557
Phone number:
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