DEMETRIUS GEORGE

SHREVEPORT, LA
NPI1922537430
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2017-06-08
Last Update Date2022-07-21
Business Address
DEMETRIUS GEORGE
2352 FERNBROOK DR
SHREVEPORT, LA 71118-5215
Phone number: 318-393-5543
Mailing Address
DEMETRIUS GEORGE
2352 FERNBROOK DR
SHREVEPORT, LA 71118-5215
Phone number: 318-393-5543
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