SHAMICHEAL DAVENPORT

SHREVEPORT, LA
NPI1790159812
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-12-01
Last Update Date2015-12-01
Business Address
-- SHAMICHEAL DAVENPORT
6535 DIANNE ST
SHREVEPORT, LA 71119
Phone number: 318-422-5201
Mailing Address
-- SHAMICHEAL DAVENPORT
6535 DIANNE ST
SHREVEPORT, LA 71119
Phone number: