LEO ANDERSON

SHREVEPORT, LA
NPI1710295357
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-09-16
Last Update Date2010-09-16
Business Address
-- LEO ANDERSON
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
-- LEO ANDERSON
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
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