THADDYEUS DIXON

SHREVEPORT, LA
NPI1679003743
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-06-12
Last Update Date2017-06-12
Business Address
-- THADDYEUS DIXON
2800 YOUREE DR STE 482
SHREVEPORT, LA 71104-3666
Phone number: 318-869-1899
Mailing Address
-- THADDYEUS DIXON
1015 SEBILLE DR
ALEXANDRIA, LA 71303-5707
Phone number: 318-955-0078
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