DOMINIQUE STEVENSON

SHREVEPORT, LA
NPI1407381973
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies174400000X Specialist
Enumeration Date2017-04-21
Last Update Date2019-03-06
Business Address
Miss DOMINIQUE STEVENSON
6800 RASBERRY LANE APT.1901
SHREVEPORT, LA 71129
Phone number: 318-834-5287
Mailing Address
Miss DOMINIQUE STEVENSON
6800 RASBERRY LN APT 1901
SHREVEPORT, LA 71129-2525
Phone number: 318-834-5287