DARRELL FAVIS

SHREVEPORT, LA
NPI1346697646
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-05-17
Last Update Date2016-05-17
Business Address
Mr. DARRELL FAVIS
7137 JANEY STREET
SHREVEPORT, LA 71108
Phone number: 318-205-0584
Mailing Address
Mr. DARRELL FAVIS
7137 JANEY STREET
SHREVEPORT, LA 71108
Phone number: 318-205-0584
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