TEDIE NELSON

SHREVEPORT, LA
NPI1386194165
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-10-05
Last Update Date2016-10-05
Business Address
-- TEDIE NELSON
4609 N MARKET ST STE. A
SHREVEPORT, LA 71107-2900
Phone number: 318-626-5462
Mailing Address
-- TEDIE NELSON
4609 N MARKET ST STE. A
SHREVEPORT, LA 71107-2900
Phone number: 318-626-5462
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