TERRELL MENDENHALL

SHREVEPORT, LA
NPI1548718117
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-09-13
Last Update Date2016-09-13
Business Address
-- TERRELL MENDENHALL
1440 HAWN AVE
SHREVEPORT, LA 71107-6532
Phone number: 318-226-5990
Mailing Address
-- TERRELL MENDENHALL
1440 HAWN AVE
SHREVEPORT, LA 71107-6532
Phone number: 318-226-5990
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