EDWIN JEFFERSON

SHREVEPORT, LA
NPI1780197996
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-11-09
Last Update Date2017-11-09
Business Address
EDWIN JEFFERSON
1717 MARSHALL ST
SHREVEPORT, LA 71101-4139
Phone number: 318-226-9944
Mailing Address
EDWIN JEFFERSON
6416 JOY DR
SHREVEPORT, LA 71119-5110
Phone number: 318-834-9629
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