TONNIQUE JETER

SHREVEPORT, LA
NPI1538889647
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-08-30
Last Update Date2022-08-30
Business Address
TONNIQUE JETER
4718 HEARNE AVE
SHREVEPORT, LA 71108-2703
Phone number: 318-828-1521
Mailing Address
TONNIQUE JETER
4718 HEARNE AVE
SHREVEPORT, LA 71108-2703
Phone number: 318-828-1521
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