T'ANITA KING

SHREVEPORT, LA
NPI1598130320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2015-12-04
Last Update Date2018-07-20
Business Address
T'ANITA KING
2219 CLAIBORNE AVE
SHREVEPORT, LA 71103
Phone number: 318-779-0434
Mailing Address
T'ANITA KING
1513 LINE AVE SUITE 230
SHREVEPORT, LA 71101-4621
Phone number: 318-670-8858