LAVERA J WHITE

SHREVEPORT, LA
NPI1578158143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2021-03-05
Last Update Date2021-04-19
Business Address
LAVERA J WHITE
6800 RASBERRY LN APT 1005
SHREVEPORT, LA 71129-2522
Phone number: 318-754-2504
Mailing Address
LAVERA J WHITE
PO BOX 37511
SHREVEPORT, LA 71133-7511
Phone number: 318-754-2504