LORETA T LEAVITT

SHREVEPORT, LA
NPI1992815401
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: LA  5078)
Enumeration Date2006-08-30
Last Update Date2007-07-08
Business Address
-- LORETA T LEAVITT MSW
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
-- LORETA T LEAVITT MSW
9838 BALLANTRAE CIR
SHREVEPORT, LA 71106-7752
Phone number: 318-221-8411
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