FREDRICK MCDONALD

SHREVEPORT, LA
NPI1639611783
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-11-07
Last Update Date2018-08-17
Business Address
FREDRICK MCDONALD
200 N THOMAS DR SUITE A
SHREVEPORT, LA 71107
Phone number: 318-424-8345
Mailing Address
FREDRICK MCDONALD
6051 ROMA DR APT 519
SHREVEPORT, LA 71105-4670
Phone number: 601-410-5505
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