JERRELL HORNE

SHREVEPORT, LA
NPI1912361874
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-04-07
Last Update Date2016-04-07
Business Address
Mr. JERRELL HORNE
3510 LINWOOD AVE
SHREVEPORT, LA 71103-4512
Phone number: 318-636-4194
Mailing Address
Mr. JERRELL HORNE
3510 LINWOOD AVE
SHREVEPORT, LA 71103-4512
Phone number: 318-636-4194
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