GRACE MBENKUM

SHREVEPORT, LA
NPI1609306372
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2017-06-15
Last Update Date2022-01-19
Business Address
GRACE MBENKUM
5902 BUNCOMBE RD
SHREVEPORT, LA 71129-4004
Phone number: 318-670-8898
Mailing Address
GRACE MBENKUM
PO BOX 29372
SHREVEPORT, LA 71149-9372
Phone number: 318-670-8898