LINDA ANDERSON PIVONT

SHREVEPORT, LA
NPI1457623530
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2012-02-03
Last Update Date2012-02-03
Business Address
Ms. LINDA ANDERSON PIVONT LAC
1310 NORTH HEARNE AVE
SHREVEPORT, LA 71107
Phone number: 318-676-5111
Mailing Address
Ms. LINDA ANDERSON PIVONT LAC
PO BOX 7904
SHREVEPORT, LA 71137-7904
Phone number: 318-676-5111