DEEANDRIEZ WALLACE

SHREVEPORT, LA
NPI1669113239
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: LA  PLC9016)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2022-04-06
Last Update Date2023-02-03
Business Address
DEEANDRIEZ WALLACE
3003 KNIGHT ST SUITE 115
SHREVEPORT, LA 71105-2561
Phone number: 318-614-7314
Mailing Address
DEEANDRIEZ WALLACE
3003 KNIGHT ST STE 115
SHREVEPORT, LA 71105-2561
Phone number: