MILDRED RIVERS

SHREVEPORT, LA
NPI1912425935
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2017-08-30
Last Update Date2023-01-04
Business Address
MILDRED RIVERS
4718 HEARNE AVE
SHREVEPORT, LA 71108
Phone number: 318-828-1521
Mailing Address
MILDRED RIVERS
4718 HEARNE AVE
SHREVEPORT, LA 71108-2703
Phone number: 318-828-1521