MIA DESHAWN WHITESIDE

SHREVEPORT, LA
NPI1477925469
Former NameMIA DESHAWN WHITESIDE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: TX  62608)
Enumeration Date2015-10-29
Last Update Date2023-09-22
Business Address
MS. MIA DESHAWN WHITESIDE LCSW
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
MS. MIA DESHAWN WHITESIDE LCSW
501 EAST STONER AVENUE
SHREVEPORT, LA 71101
Phone number: 318-221-8411
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