RICKEY DOUGLAS

SHREVEPORT, LA
NPI1396242483
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-04-06
Last Update Date2018-04-06
Business Address
RICKEY DOUGLAS
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number: 318-861-8938
Mailing Address
RICKEY DOUGLAS
9403 MANSFIELD RD
SHREVEPORT, LA 71118-3815
Phone number:
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