MLCOLM DEMERY

SHREVEPORT, LA
NPI1336681931
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-11-14
Last Update Date2016-11-14
Business Address
-- MLCOLM DEMERY
3010 NEWPORT ST
SHREVEPORT, LA 71118-2015
Phone number: 318-572-3309
Mailing Address
-- MLCOLM DEMERY
3010 NEWPORT ST
SHREVEPORT, LA 71118-2015
Phone number:
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