Provider First Line Business Practice Location Address:
410 W. 70TH STREET
Provider Second Line Business Practice Location Address:
LINWOOD SCHOOL BASED HEALTH CENTER
Provider Business Practice Location Address City Name:
SHREVEPORT
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-868-4552
Provider Business Practice Location Address Fax Number:
318-868-4552
Provider Enumeration Date:
07/16/2006