GLORIA JEAN BOSTON

SHREVEPORT, LA
NPI1871647768
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2007-01-22
Last Update Date2007-07-08
Business Address
GLORIA JEAN BOSTON B.S.
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5111
Mailing Address
GLORIA JEAN BOSTON B.S.
1310 N HEARNE AVE
SHREVEPORT, LA 71107-6516
Phone number: 318-676-5111