SHAUNDRED DEJUAN HOUSTON

SHREVEPORT, LA
NPI1356810055
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-11-26
Last Update Date2019-04-17
Business Address
Mr. SHAUNDRED DEJUAN HOUSTON MHP
2715 MACKEY PL STE 135
SHREVEPORT, LA 71118-2528
Phone number: 318-220-8423
Mailing Address
Mr. SHAUNDRED DEJUAN HOUSTON MHP
PO BOX 602
COTTON VALLEY, LA 71018-0602
Phone number: 318-773-1788
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