DEBRA KENNON

SHREVEPORT, LA
NPI1780054924
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2015-09-30
Last Update Date2019-07-02
Business Address
DEBRA KENNON
1301 YOUREE DR
SHREVEPORT, LA 71101-5117
Phone number: 318-675-0804
Mailing Address
DEBRA KENNON
1000 CHINABERRY DR STE 900
BOSSIER CITY, LA 71111-2455
Phone number: 318-742-3408