| Damita Braswell | |
|
414 Lavita Dr Shreveport LA 71106-7519 | |
| (318) 834-1859 | |
| (318) 402-4269 |
| Full Name | Damita Braswell |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 414 Lavita Dr, Shreveport, Louisiana |
| Authorized Official Name and Position | Damita Walker Braswell (COUNSELOR) |
| Authorized Official Contact | 3188341859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Damita Braswell 414 Lavita Dr Shreveport LA 71106-7519 Ph: (318) 834-1859 | Damita Braswell 414 Lavita Dr Shreveport LA 71106-7519 Ph: (318) 834-1859 |
| NPI Number | 1831546852 |
|---|---|
| Provider Enumeration Date | 05/19/2016 |
| Last Update Date | 05/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831546852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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